Individual provider Active NPI

Christian Berkhahn, MD, MS

  • Pediatrics Physician
  • Louisville, KY
National Provider Identifier
1518005156
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
40559 Issued in KY
Practice address
417 Benjamin LN Ste 101
Louisville, KY 40222-4939
Phone
(502) 412-0597
Fax
(502) 412-4637
NPI assigned
Feb 4, 2007
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 40559 KY Primary

Addresses

Primary practice location

417 Benjamin LN Ste 101
Louisville, KY 40222-4939

Mailing address

417 Benjamin LN Ste 101
Louisville, KY 40222-4939
Phone (502) 412-0597

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
I20070814000379 KY Practitioner - Pediatric Medicine 1759472186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Alabama School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

417 Benjamin LN
Suite 101
Louisville, KY 40222-4939
Phone (502) 412-0597

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Pediatric Associates PLLC Pediatrics CurrentSince Dec 1, 2015 Accepting new patients
Baptist Healthcare System Inc. Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Yasir LLC PastSince Jul 1, 2020 Accepting new patients

Locations

417 Benjamin Ln
Ste 101
Louisville, KY 40222
Phone (502) 289-9306

Interoperability endpoints

  • Direct secure messaging: christian.berkhahn.1@15826.direct.athenahealth.com
  • Direct secure messaging: christian.berkhahn.1@16208.direct.athenahealth.com
  • Direct secure messaging: christian.berkhahn.1@24213.direct.athenahealth.com

Organizations & group practices 4

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": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1518005156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 BENJAMIN LN STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224939",
            "telephone_number": "502-412-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 BENJAMIN LN STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224939",
            "telephone_number": "502-412-0597",
            "fax_number": "502-412-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKHAHN",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-04",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "40559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.