Active NPI
Nancy Newman, MD
- Gynecology Physician
- Louisville, KY
National Provider Identifier
1568460871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 25841
- Practice address
- 4123 Dutchmans LN
Suite 300
Louisville, KY 40207 - Phone
- (502) 899-6755
- Fax
- (502) 899-6753
- NPI assigned
- Jul 11, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 25841 | KY | Primary |
Addresses
Primary practice location
4123 Dutchmans LN
Suite 300
Louisville, KY 40207
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other practice location 1
4001 Kresge Way Ste 324
Louisville, KY 40207-4698
Phone (502) 894-4408
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K023930 | Other | KY | MEDICARE- WOMEN'S SPECIALISTS |
| 000001118450 | Other | KY | ANTHEM (WYGAL & COX) |
| 64258411 | Medicaid | KY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25841 | KY | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Associates in Obstetrics and Gynecology of Louisville, PLLC | Past | Accepting new patients |
Locations
210 E Gray St
Ste 802
Louisville, KY 40202
Phone (502) 290-7575
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
- Obstetrics & Gynecology Physician
- Louisville, KY
- NPI 1083652671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1568460871",
"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": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4123 DUTCHMANS LN",
"address_2": "SUITE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40207",
"telephone_number": "502-899-6755",
"fax_number": "502-899-6753"
}
],
"practiceLocations": [
{
"address_1": "4001 Kresge Way Ste 324",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402074698",
"country_code": "US",
"telephone_number": "502-894-4408",
"fax_number": "502-894-9775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWMAN",
"first_name": "NANCY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "KY",
"license": "25841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE- WOMEN'S SPECIALISTS",
"identifier": "K023930",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM (WYGAL & COX)",
"identifier": "000001118450",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64258411",
"state": "KY"
}
],
"endpoints": [],
"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 Mar 17, 2018; 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.