NPIMap

Individual provider Active NPI

Kelley M. McIntyre, MD

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1497710693
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
36930 Issued in KY
Practice address
3 Audubon Plaza Dr Ste LL2
Louisville, KY 40217-1360
Phone
(502) 636-8095
Fax
(502) 636-8097
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician 207RB0002X 36930 KY
Internal Medicine Physician 207R00000X 36930 KY Primary

Addresses

Primary practice location

3 Audubon Plaza Dr Ste LL2
Louisville, KY 40217-1360

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 8

IdentifierTypeStateIssuer
012818OtherKYSIHO / NCMA
1165398OtherKYPASSORT / NCM A
110235754OtherKYRAILROAD MEDICARE
000000225552OtherKYANTHEM / NCMA
64048663MedicaidKY
000023029EOtherKYHUMANA / NCMA
200532250MedicaidIN
2439944000OtherKYPASSPORT ADVANTAGE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kmcintyre5969@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050104000440 KY Practitioner - Internal Medicine 2163470493 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onemd Eastpoint PLLCGroup PAC ID 0042740516, 2 clinicians

Practice addresses (Care Compare)

13050 Magisterial Dr
Suite 102
Louisville, KY 40223-5181
Phone (502) 899-7163

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36930KYMDObesity Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Onemd Eastpoint PLLC CurrentSince Dec 1, 2024 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Jul 1, 2002 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Onemd St Matthews PLLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Jul 1, 2002 Accepting new patients

Locations

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

2425 Lime Kiln Ln
Louisville, KY 40222
Phone (502) 899-7163

112 Sears Ave
Louisville, KY 40207
Phone (502) 238-2163

3 Audubon Plaza Dr
Ste 150
Louisville, KY 40217
Phone (502) 636-4950

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

13050 Magisterial Dr
Ste 102
Louisville, KY 40223
Phone (502) 899-7163

3 Audubon Plaza Dr
Ste LL2
Louisville, KY 40217
Phone (502) 636-8005

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

13050 Magisterial Dr
Louisville, KY 40223
Phone (502) 899-7163

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

Organizations & group practices 5

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.

Hospital & facility affiliations 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1497710693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 AUDUBON PLAZA DR STE LL2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171360",
            "telephone_number": "502-636-8095",
            "fax_number": "502-636-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "KELLEY",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2022-05-19",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "KY",
            "license": "36930",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "36930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO / NCMA",
            "identifier": "012818",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSORT / NCM A",
            "identifier": "1165398",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110235754",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM / NCMA",
            "identifier": "000000225552",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64048663",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA / NCMA",
            "identifier": "000023029E",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200532250",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2439944000",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmcintyre5969@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "3 Audubon Plaza Dr Ste Ll2",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "3 Audubon Plaza Dr Ste Ll2",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.