NPIMap

Individual provider Active NPI

Alissa Jean Doll

  • Surgical Oncology Physician
  • Louisville, KY
National Provider Identifier
1548793219
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
59341 Issued in KY
Practice address
4123 Dutchmans LN Ste 607
Louisville, KY 40207-4725
Phone
(502) 899-6470
Fax
(502) 899-6479
NPI assigned
Apr 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 59341 KY Primary
Surgery Physician 208600000X 59341 KY

Addresses

Primary practice location

4123 Dutchmans LN Ste 607
Louisville, KY 40207-4725

Mailing address

PO Box 776351
Chicago, IL 60677-6351

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
I20240906001646 KY Practitioner - Surgical OncologyPractitioner - General Surgery 6507119302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
University of Louisville School of Medicine, 2018
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)

4123 Dutchmans LN
Suite 607
Louisville, KY 40207-4725
Phone (502) 899-6470

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

Merit-based Incentive Payment System (MIPS)

Final score
80.82 of 100Reported as group
Quality
61.6
Promoting interoperability
100
Improvement activities
40
Cost
71.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59341KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

4123 Dutchmans Ln
Ste 607
Louisville, KY 40207
Phone (502) 899-6470

315 E Broadway
Ste 310
Louisville, KY 40202
Phone (502) 629-2610

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

Interoperability endpoints

  • Direct secure messaging: adoll1171917@direct.uclahealth.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.

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": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1548793219",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 DUTCHMANS LN STE 607",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074725",
            "telephone_number": "502-899-6470",
            "fax_number": "502-899-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLL",
        "first_name": "ALISSA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-09",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "KY",
            "license": "59341",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "59341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.