Bullitt County Family Practitioners PSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BULLITT COUNTY FAMILY PRACTITIONERS PSC

Practice address

170 Dr Arla Way Ste 1
Louisville, KY 40229-5427

Phone

(502) 955-4889

Fax

(502) 957-1201

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mohana R Arla, M.D.NPI 1710085600

Title

President

Phone

(502) 955-4889

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohana Rao Arla, MD

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1710085600
  Medicare reassignment Care Compare group Authorized official
• Praveen V Arla, D.O

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1790931830
  Medicare reassignment Care Compare group
• Allison D Rowland, APRN

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1790044774
  Medicare reassignment Care Compare group
• Dilli Ram Rizal, APRN, MSN, FNP-C

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1114674074
  Medicare reassignment

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1558459917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 DR ARLA WAY STE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295427",
            "telephone_number": "502-955-4889",
            "fax_number": "502-957-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 DR ARLA WAY STE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295427",
            "telephone_number": "502-955-4889",
            "fax_number": "502-957-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULLITT COUNTY FAMILY PRACTITIONERS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "ARLA",
        "authorized_official_first_name": "MOHANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-955-4889",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli M. Bullard Dunn, MD
• Krista A Bullard, LCSW
• Nathan Michael Bullington, M.D.
• Janice Bullins, APRN
• Bullitt County Family Practitioner
• Bullitt County Foot and Ankle Center
• Denita Bullock, RBT
• Justin Franklin Bullock
• Larry W. Bullock, PHARMACIST
• Nikeea Bullock, APRN

• Family Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.