Active NPI
Kellye Arianna Hoffman, M.D.
- Obstetrics & Gynecology Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2016-01805
- Practice address
- 200 E Chestnut St
Louisville, KY 40202-1831 - Phone
- (757) 620-5198
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01096716A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 2016-01805 | NC | Primary |
Addresses
Primary practice location
200 E Chestnut St
Louisville, KY 40202-1831
Mailing address
245 Memorial Dr
Jacksonville, NC 28546-6333
Phone (910) 353-4333
Other practice location 1
245 Memorial Dr
Jacksonville, NC 28546-6333
Phone (910) 353-4333
Other practice location 2
4001 Dutchmans Ln
Louisville, KY 40207-4714
Phone (757) 620-5198
Other practice location 3
4199 Gateway Blvd
Newburgh, IN 47630-8940
Phone (812) 842-4200
Other names 1
- Mrs. Kellye Arianna Ethridge
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Tennessee, HSC, College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4199 Gateway Blvd
Newburgh, IN 47630-8940
Phone (812) 842-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01096716A | IN | MD | Obstetrics & Gynecology Physician |
| 2016-01805 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Deaconess Women'S Hospital of Southern Indiana, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Magdalene Karon, M.D., P.S.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Deaconess Women'S Hospital of Southern Indiana, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Deaconess Women'S Hospital of Southern Indiana, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Environ Anesthesia, LLC. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Norton Hospitals, Inc | Past | Accepting new patients | |
| Community Medical Associates, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200
160 N Eagle Creek Dr
Ste 205
Lexington, KY 40509
Phone (859) 277-3135
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
Interoperability endpoints
- https://api.platform.athenahealth.com/25408/brand/1/csg/1/fhir/r4
- khoffman466262@direct.stlukeshealth.org
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Newburgh, IN
- NPI 1245272921
Obstetrics & Gynecology
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
- Obstetrics & Gynecology Physician
- Lexington, KY
- NPI 1235324690
-
- Obstetrics & Gynecology Physician
- Ashland, KY
- NPI 1457644122
-
- Infectious Disease Physician
- Louisville, KY
- NPI 1124626056
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Anesthesiology Physician
- Lexington, KY
- NPI 1831438092
-
- Gynecologic Oncology Physician
- Newburgh, IN
- NPI 1114297801
Obstetrics & Gynecology
-
- Non-Surgical Family Planning Clinic/Center
- Evansville, IN
- NPI 1609689561
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1891799227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1477635274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 MEMORIAL DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466333",
"telephone_number": "910-353-4333",
"fax_number": "910-353-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E CHESTNUT ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021831",
"telephone_number": "757-620-5198"
}
],
"practiceLocations": [
{
"address_1": "245 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285466333",
"country_code": "US",
"telephone_number": "910-353-4333",
"fax_number": "910-353-6529",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4001 Dutchmans Ln",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402074714",
"country_code": "US",
"telephone_number": "757-620-5198",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4199 Gateway Blvd",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476308940",
"country_code": "US",
"telephone_number": "812-842-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOFFMAN",
"first_name": "KELLYE",
"middle_name": "ARIANNA",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01096716A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "2016-01805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLYE",
"last_name": "ETHRIDGE",
"middle_name": "ARIANNA",
"prefix": "MRS.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.