Active NPI
Anne F. Fitzpatrick, MD
- Diagnostic Radiology Physician
- Louisville, KY
National Provider Identifier
1497960314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 43612
- Practice address
- 4000 Kresge Way
Louisville, KY 40207-4605 - Phone
- (502) 897-8281
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 43612 | KY | Primary |
Addresses
Primary practice location
4000 Kresge Way
Louisville, KY 40207-4605
Mailing address
702 Executive Park
Louisville, KY 40207-4207
Phone (502) 895-5405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100117310 | Medicaid | KY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100630000838 | KY | Practitioner - Diagnostic Radiology | 0244361558 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Louisville School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- X-Ray Associates of Louisville PSC
Practice addresses (Care Compare)
2524 Meadow Rd
Louisville, KY 40205-2220
Phone (502) 897-8121
4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8121
Hospital & facility affiliations
- Baptist Health Louisville
- UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital
- Baptist Health Hardin
- CHI Saint Joseph Flaget Memorial Hospital
- Baptist Health Lagrange
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43612 | KY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| X-Ray Associates of Louisville PSC | Diagnostic Radiology | Current | Accepting new patients |
| Heartland Diagnostics, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
702 Executive Park
Louisville, KY 40207
4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1922046002
Diagnostic Radiology, KY
-
- Radiology Clinic/Center
- Elizabethtown, KY
- NPI 1881697613
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Jeffersonville, IN
- NPI 1851373435
Diagnostic Radiology
Hospital & facility affiliations 26
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1497960314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 EXECUTIVE PARK",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074207",
"telephone_number": "502-895-5405",
"fax_number": "502-894-9544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 KRESGE WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074605",
"telephone_number": "502-897-8281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "ANNE",
"middle_name": "F.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "43612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100117310",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.