Individual provider Active NPI

Egambaram Senthilvel, MD

  • Sleep Medicine (Family Medicine) Physician
  • Louisville, KY
National Provider Identifier
1477761187
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
45090 Issued in KY
Practice address
9880 Angies Way
Ste. 330
Louisville, KY 40241-2852
Phone
(502) 588-2220
Fax
(502) 588-2221
NPI assigned
May 18, 2007
Last updated
Oct 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 45090 KY
Sleep Medicine (Family Medicine) Physician 207QS1201X 45090 KY Primary

Addresses

Primary practice location

9880 Angies Way
Ste. 330
Louisville, KY 40241-2852

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-2220

Other identifiers 2

IdentifierTypeStateIssuer
7100211060MedicaidKY
201073350MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120620000076 KY Practitioner - Family PracticePractitioner - Pediatric MedicinePractitioner - Other (Physician)Practitioner - Sleep Medicine 7315078094 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.07
Promoting interoperability
100
Improvement activities
40
Cost
76.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC Sleep Medicine CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Nov 22, 2017 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Sep 1, 2012 Accepting new patients
University of Louisville Physicians, Inc. Family Medicine CurrentSince Sep 1, 2012 Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Nov 22, 2017 Accepting new patients
Norton Childrens Medical Group, LLC Past Accepting new patients
Community Medical Associates, Inc. Family Medicine Past Accepting new patients
University Children's Sleep Medicine Specialists, LLC Sleep Medicine Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

210 E Gray St
Louisville, KY 40202
Phone (502) 587-9350

332 W Broadway
Ste 1100
Louisville, KY 40202
Phone (502) 852-5437

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

9880 Angies Way
Ste 300
Louisville, KY 40241
Phone (502) 629-2225

9880 Angies Way
Ste 330
Louisville, KY 40241
Phone (502) 588-2220

Interoperability endpoints

  • Direct secure messaging: esenthilvel55397@direct.nortonhealthcare.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1477761187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-2220",
            "fax_number": "502-588-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 ANGIES WAY",
            "address_2": "STE. 330",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412852",
            "telephone_number": "502-588-2220",
            "fax_number": "502-588-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENTHILVEL",
        "first_name": "EGAMBARAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "45090",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "KY",
            "license": "45090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100211060",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201073350",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.