Individual provider Active NPI

Lisa Rachelle Klein, MD

  • Pediatric Cardiology Physician
  • Louisville, KY
National Provider Identifier
1497751044
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
29111 Issued in KY
Practice address
411 E Chestnut St
Louisville, KY 40202-1713
Phone
(502) 588-7450
Fax
(502) 589-1256
NPI assigned
Jun 27, 2005
Last updated
May 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 29111 KY Primary

Addresses

Primary practice location

411 E Chestnut St
Louisville, KY 40202-1713

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-7450

Other practice location 1

800 Rose St
MN-150
Lexington, KY 40536
Phone (859) 323-6754

Other identifiers 4

IdentifierTypeStateIssuer
64291115MedicaidKY
Q01749MedicaidSC
100386740AMedicaidIN
5910490MedicaidNC

Other names 1

  • Lisa Rachelle Kirsch Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/
Direct Messaging Address lklein100474@direct.nortonhealthcare.org

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
I20110815000476 KY Practitioner - Pediatric MedicinePractitioner - Other (Physician)Practitioner - Cardiovascular Disease (Cardiology) 0941369227 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Aug 15, 2019 Accepting new patients
Kentucky Medical Services Foundation, Inc CurrentSince Jul 1, 2011 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 15, 2019 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Pediatric Cardiology Associates Pediatric Cardiology Past Accepting new patients
University of Kentucky PastSince Jul 1, 2011 Accepting new patients
Commission for Children With Special Health Car Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

110 Johnson Ln
Barbourville, KY 40906
Phone (606) 546-5109

2040 Louisville Rd
Bowling Green, KY 42101
Phone 2707467816 ext. 3109

103 Town and Country Ln
Ste M
Hazard, KY 41701

1760 Nicholasville Rd
Ste 602
Lexington, KY 40503
Phone (859) 218-5244

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

333 Waller Ave
Ste 300
Lexington, KY 40504
Phone (859) 252-3170

800 Rose St
#150
Lexington, KY 40536
Phone (859) 257-5548

310 Whittington Pkwy
Ste 200
Louisville, KY 40222
Phone (502) 429-1249

411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330

411 E Chestnut St
#5A
Louisville, KY 40202
Phone (502) 588-2349

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

5721 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-1144

601 S Floyd St
Ste 602
Louisville, KY 40202
Phone (502) 585-4802

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

214 W 1st St
Morehead, KY 40351
Phone (606) 783-8610

1600 Breckenridge St
Owensboro, KY 42303
Phone (270) 686-7744

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

401 Bogle St
Ste 104
Somerset, KY 42503
Phone (800) 525-4279

Organizations & group practices 9

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1497751044",
    "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": "502-588-7450",
            "fax_number": "502-589-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021713",
            "telephone_number": "502-588-7450",
            "fax_number": "502-589-1256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St",
            "address_2": "MN-150",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "40536",
            "country_code": "US",
            "telephone_number": "859-323-6754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "LISA",
        "middle_name": "RACHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "KY",
            "license": "29111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64291115",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q01749",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100386740A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910490",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "411 E Chestnut St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lklein100474@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "411 E Chestnut St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "KIRSCH",
            "middle_name": "RACHELLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.