Individual provider Active NPI

Stephanie S. Altobellis, M.D.

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1558318220
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27437 Issued in KY
Practice address
6420 Dutchmans Pkwy Ste 165
Louisville, KY 40205-3353
Phone
(502) 897-0272
Fax
(502) 897-0275
NPI assigned
May 28, 2006
Last updated
Feb 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27437 KY Primary

Addresses

Primary practice location

6420 Dutchmans Pkwy Ste 165
Louisville, KY 40205-3353

Mailing address

100 E Liberty St Ste 800
Louisville, KY 40202-1428
Phone (502) 897-0272

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
I20040413000050 KY Practitioner - Internal Medicine 5890789846 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27437KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Oct 11, 2019 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 11, 2019 Accepting new patients
University of Louisville Physicians, Inc. Internal Medicine Current Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

201 Abraham Flexner Way
Ste 904
Louisville, KY 40202
Phone (502) 583-5553

215 Central Ave
Ste 100
Louisville, KY 40208
Phone (502) 588-8720

3920 Dutchmans Ln
Louisville, KY 40207
Phone (502) 259-6000

3920 Dutchmans Ln
#312
Louisville, KY 40207
Phone (502) 896-4246

3920 Dutchmans Ln
Ste 312
Louisville, KY 40207
Phone (502) 896-4246

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

6420 Dutchmans Pkwy
Ste 165
Louisville, KY 40205
Phone (502) 897-0272

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, 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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1558318220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST STE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021428",
            "telephone_number": "502-897-0272",
            "fax_number": "502-897-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY STE 165",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053353",
            "telephone_number": "502-897-0272",
            "fax_number": "502-897-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTOBELLIS",
        "first_name": "STEPHANIE",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "27437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.