NPIMap

Individual provider Active NPI

Tracey Danielle Wolford, M.D.

  • Gastroenterology Physician
  • Louisville, KY
National Provider Identifier
1538428727
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
47646 Issued in KY
Practice address
210 E Gray St Ste 602
Louisville, KY 40202-3902
Phone
(502) 585-1557
Fax
(502) 629-6064
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R3065 KY
Internal Medicine Physician 207R00000X 47646 KY
Gastroenterology Physician 207RG0100X 47646 KY Primary

Addresses

Primary practice location

210 E Gray St Ste 602
Louisville, KY 40202-3902

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 559-9438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190114002446 KY Practitioner - Gastroenterology 6305124819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Kentucky College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

210 E Gray St
Louisville, KY 40202-3902

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

850 S 28TH St
Louisville, KY 40211-1223

Hospital & facility affiliations

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Upper gastrointestinal (GI) endoscopy for acid reflux33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3065KYMDInternal Medicine Physician
47646KYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates PSC Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Feb 11, 2024 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Feb 11, 2024 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients

Locations

210 E Gray St
Ste 602
Louisville, KY 40202
Phone (502) 582-6900

4803 Olympia Park Plz
Ste 1100
Louisville, KY 40241
Phone (502) 272-5134

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

Interoperability endpoints

  • Direct secure messaging: twolford277550@direct.nortonhealthcare.org
  • Direct secure messaging: traceywolford@kysjhspe.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1538428727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-559-9438",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E GRAY ST STE 602",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023902",
            "telephone_number": "502-585-1557",
            "fax_number": "502-629-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFORD",
        "first_name": "TRACEY",
        "middle_name": "DANIELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "R3065",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "47646",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "47646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.