NPIMap

Organization Active NPI

Longevity Accountable Care, PA

  • Geriatric Medicine (Family Medicine) Physician
  • Louisville, KY
National Provider Identifier
1538082425
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
LONGEVITY ACCOUNTABLE CARE, PA
Practice address
2100 Cherokee Ridge Way Ste 100
Louisville, KY 40205-1600
Phone
(561) 850-4129
NPI assigned
Jul 30, 2026
Organization subpart
Yes
Parent organization
LONGEVITY ACCOUNTABLE CARE, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Michelle Byowitz
Title
Provider Relations Representative
Phone
(561) 850-4129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

2100 Cherokee Ridge Way Ste 100
Louisville, KY 40205-1600

Mailing address

2100 Cherokee Ridge Way Ste 100
Louisville, KY 40205-1600

National Provider Directory

National Provider Directory
Tax ID family
Longevity Acctable Care PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1538082425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CHEROKEE RIDGE WAY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CHEROKEE RIDGE WAY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051600",
            "telephone_number": "561-850-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY ACCOUNTABLE CARE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONGEVITY ACCOUNTABLE CARE, PA",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "BYOWITZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PROVIDER RELATIONS REPRESENTATIVE",
        "authorized_official_telephone_number": "561-850-4129"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.