Individual provider Active NPI

William M Skaggs, MD

  • Cardiovascular Disease Physician
  • Louisville, KY
National Provider Identifier
1497787766
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25795 Issued in KY
Practice address
6420 Dutchmans Pkwy
Suite 200
Louisville, KY 40205-3372
Phone
(502) 891-8300
Fax
(502) 891-8338
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25795 KY Primary

Addresses

Primary practice location

6420 Dutchmans Pkwy
Suite 200
Louisville, KY 40205-3372

Mailing address

PO Box 950202
Louisville, KY 40295-0202
Phone (502) 891-8300

Other identifiers 9

IdentifierTypeStateIssuer
100388550FMedicaidIN
100388550AMedicaidIN
1056155OtherKYPASSPORT PIN
000000693045OtherKYANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE
2433846000OtherKYPASSPORT ADVANTAGE PIN
000057080ROtherKYHUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE
64257959MedicaidKY
P00893034OtherKYRAILROAD MEDICARE- CTS
000000044927OtherKYANTHEM PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060921000413 KY Practitioner - Cardiovascular Disease (Cardiology) 7719990167 Reassigns benefits to 1 organization
I20190131001442 IN Practitioner - Cardiovascular Disease (Cardiology) 7719990167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Cardiovascular Disease CurrentSince Mar 23, 2018 Accepting new patients
Norton Hospitals Inc Cardiovascular Disease Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

207 Sparks Ave
Ste 100
Jeffersonvlle, IN 47130
Phone (812) 284-4357

9880 Angies Way
Ste 410
Louisville, KY 40241
Phone (502) 394-6511

6420 Dutchmans Pkwy
Ste 200
Louisville, KY 40205
Phone (502) 891-8333

10216 Taylorsville Rd
Ste 400
Louisville, KY 40299
Phone (502) 267-5456

2400 Eastpoint Pkwy
Ste 560
Louisville, KY 40223
Phone (502) 210-6610

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

3991 Dutchmans Ln
Ste 208
Louisville, KY 40207
Phone (502) 897-2440

Interoperability endpoints

  • Direct secure messaging: wskaggs12648@direct.nortonhealthcare.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1497787766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950202",
            "telephone_number": "502-891-8300",
            "fax_number": "502-891-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY",
            "address_2": "SUITE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053372",
            "telephone_number": "502-891-8300",
            "fax_number": "502-891-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "25795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100388550F",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100388550A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT PIN",
            "identifier": "1056155",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE",
            "identifier": "000000693045",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE PIN",
            "identifier": "2433846000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE",
            "identifier": "000057080R",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64257959",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE- CTS",
            "identifier": "P00893034",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000044927",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.