NPIMap

Individual provider Active NPI

Thomas Pillitteri, APRN

  • Acute Care Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1497300362
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3013563 Issued in KY
Practice address
3021 Long Creek Way
Louisville, KY 40245-5306
Phone
(502) 609-2708
NPI assigned
Aug 7, 2019
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3013563 KY Primary
Registered Nurse 163W00000X 1132294 KY

Addresses

Primary practice location

3021 Long Creek Way
Louisville, KY 40245-5306

Mailing address

4815 Southern Pkwy
Louisville, KY 40214-1356
Phone (502) 523-6195

Other practice location 1

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4181

Other identifiers 1

IdentifierTypeStateIssuer
7100619220MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190926002449 IN Practitioner - Nurse Practitioner 0941530372 Reassigns benefits to 1 organization
I20191015002458 KY Practitioner - Nurse Practitioner 0941530372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Lexington Clinic PSCGroup PAC ID 3476457532, 329 clinicians
Vip Imaging PLLCGroup PAC ID 0547323420, 12 clinicians

Practice addresses (Care Compare)

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000

166 Hospital St
Monticello, KY 42633-2430
Phone (606) 348-9343

1850 Bluegrass Ave
Louisville, KY 40215-1161
Phone (502) 361-6000

1903 W Hebron LN
Shepherdsville, KY 40165-7425
Phone (502) 955-3000

8885 State Rd
Suite 237
Tell City, IN 47586-8567
Phone (812) 547-0185

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.05 of 100Reported as group
Quality
62.8
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1132294KYMDRegistered Nurse
3013563KYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Imaging, PLLC Acute Care CurrentSince Aug 5, 2019 Accepting new patients
New Lexington Clinic, PSC CurrentSince Aug 25, 2025 Accepting new patients
New Lexington Clinic PSC CurrentSince Aug 25, 2025 Accepting new patients
Heartland Diagnostics, LLC Registered Nurse Past Accepting new patients
New Lexington Clinic, PSC Past Accepting new patients
Heartland Diagnostics, LLC Registered Nurse Past Accepting new patients
Heartland Diagnostics, LLC Registered Nurse Past Accepting new patients

Locations

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

1011 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-7000

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

166 Hospital St
Monticello, KY 42633
Phone (606) 340-3251

Interoperability endpoints

  • Direct secure messaging: thomas.pillitteri.1@13059.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1497300362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 SOUTHERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141356",
            "telephone_number": "502-523-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 LONG CREEK WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455306",
            "telephone_number": "502-609-2708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405042701",
            "country_code": "US",
            "telephone_number": "859-258-4181",
            "fax_number": "859-258-4064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PILLITTERI",
        "first_name": "THOMAS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-07",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3013563",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1132294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100619220",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.