Individual provider Active NPI

Heather Marie Tluczek, D.O.

  • Anesthesiology Physician
  • Louisville, KY
National Provider Identifier
1568504637
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
03074 Issued in KY
Practice address
4005 Dupont Cir
Louisville, KY 40207-4801
Phone
(502) 897-7401
NPI assigned
Feb 13, 2007
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 03074 KY Primary
Anesthesiology Physician 207L00000X 2003261A IN
Pain Medicine Physician 208VP0000X 02003261A IN

Addresses

Primary practice location

4005 Dupont Cir
Louisville, KY 40207-4801

Mailing address

425 Lewis Hargett Cir
Lexington, KY 40503-3590
Phone (859) 268-1030

Other practice location 1

2400 Eastpoint Pkwy Ste 410
Louisville, KY 40223-4154
Phone (502) 253-6625

Other identifiers 2

IdentifierTypeStateIssuer
200918380MedicaidIN
000000577530OtherANTHEM

Other names 1

  • Heather Marie Newcomer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080905000444 IN Practitioner - Interventional Pain Management 4880760420 Reassigns benefits to 4 organizations
I20100305000035 KY Practitioner - AnesthesiologyPractitioner - Pain Management 4880760420 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Kansas City College of Medicine and Surgery, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Indiana LLCGroup PAC ID 1153576905, 130 clinicians

Practice addresses (Care Compare)

1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003261AINMDAnesthesiology Physician
03074KYMDAnesthesiology Physician
02003261AINMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Indiana LLC Anesthesiology CurrentSince Sep 1, 2025 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Jan 18, 2021 Accepting new patients
Ema Anesthesia, PSC Anesthesiology CurrentSince Dec 15, 2024 Accepting new patients
One Anesthesia PLLC Anesthesiology CurrentSince Jul 17, 2020 Accepting new patients
Ad of Kentucky PLLC Anesthesiology CurrentSince Sep 17, 2025 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 19, 2019 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 19, 2019 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients

Locations

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861

1220 Missouri Ave
Rm 2547
Jeffersonville, IN 47130

360 Missouri Ave
Ste 102
Jeffersonvlle, IN 47130
Phone (502) 364-0902

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

3605 Northgate Ct
Ste 102
New Albany, IN 47150
Phone (812) 944-4263

101 Financial Pl
Ste B103
Elizabethtown, KY 42701
Phone (270) 307-8177

1169 Eastern Pkwy
Ste 400
Louisville, KY 40217
Phone (502) 276-5554

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

225 Abraham Flexner Way
Ste 700
Louisville, KY 40202
Phone (502) 562-0398

2400 Eastpoint Pkwy
Ste 410
Louisville, KY 40223
Phone (502) 253-6625

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

1000 Breckenridge St
Ste 100
Owensboro, KY 42303
Phone (270) 683-2751

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1568504637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LEWIS HARGETT CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033590",
            "telephone_number": "859-268-1030",
            "fax_number": "859-269-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 DUPONT CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074801",
            "telephone_number": "502-897-7401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Eastpoint Pkwy Ste 410",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402234154",
            "country_code": "US",
            "telephone_number": "502-253-6625",
            "fax_number": "502-253-6629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TLUCZEK",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "03074",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "2003261A",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IN",
            "license": "02003261A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200918380",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000577530",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "NEWCOMER",
            "middle_name": "MARIE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.