Active NPI
Eugene Giles Sr., M.D.
- Internal Medicine Physician
- Louisville, KY
National Provider Identifier
1558355438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 22657
- Practice address
- 1720 W Broadway Ste 107
Louisville, KY 40203-3607 - Phone
- (502) 340-5900
- Fax
- (502) 772-1761
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22657 | KY | |
| Internal Medicine Physician | 207R00000X | 22657 | KY | Primary |
Addresses
Primary practice location
1720 W Broadway Ste 107
Louisville, KY 40203-3607
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 272-5063
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1049423 | Other | PASSPORT | |
| 64226574 | Medicaid | KY | |
| 0400136 | Other | UNITED HEALTHCARE | |
| 000000062872 | Other | ANTHEM |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | egiles43490@direct.nortonhealthcare.org | ||
| Direct Messaging Address | egiles43490@direct.nortonhealthcare.org | ||
| FHIR URL | https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients |
Locations
2746 Virginia Ave
Louisville, KY 40211
Phone (502) 772-1883
1720 W Broadway
Ste 107
Louisville, KY 40203
Phone (502) 340-5900
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1558355438",
"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": "502-272-5063",
"fax_number": "502-772-1761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 W BROADWAY STE 107",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402033607",
"telephone_number": "502-340-5900",
"fax_number": "502-772-1761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILES",
"first_name": "EUGENE",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "22657",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "22657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1049423",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64226574",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0400136",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000062872",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "egiles43490@direct.nortonhealthcare.org",
"affiliation": "N",
"address_1": "1720 W Broadway Ste 107",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402033607",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "egiles43490@direct.nortonhealthcare.org",
"affiliation": "N",
"address_1": "1720 W Broadway Ste 107",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402033607",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1720 W Broadway Ste 107",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402033607",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.