Active NPI
Renato V Larocca, M.D.
- Medical Oncology Physician
- Louisville, KY
National Provider Identifier
1598738932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 27078
- Practice address
- 315 E Broadway
Louisville, KY 40202-3700 - Phone
- (502) 629-2500
- Fax
- (502) 629-2055
- NPI assigned
- Feb 8, 2006
- 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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 01038333A | IN | |
| Medical Oncology Physician | 207RX0202X | 27078 | KY | Primary |
Addresses
Primary practice location
315 E Broadway
Louisville, KY 40202-3700
Mailing address
1930 Bishop LN
Suite 1017
Louisville, KY 40218-1921
Phone (502) 272-5754
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000051747 | Other | ANTHEM | |
| 100360120A | Medicaid | IN | |
| 90001964 | Other | RAILROAD MEDICARE | |
| 1063885 | Other | PASSPORT | |
| 64270788 | Medicaid | KY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rlarocca15762@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
Organizations & group practices 1
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.
-
dba Norton Cancer Institute
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1073568879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1598738932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 BISHOP LN",
"address_2": "SUITE 1017",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181921",
"telephone_number": "502-272-5754",
"fax_number": "502-272-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E BROADWAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023700",
"telephone_number": "502-629-2500",
"fax_number": "502-629-2055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROCCA",
"first_name": "RENATO",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "IN",
"license": "01038333A",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "KY",
"license": "27078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000051747",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100360120A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "90001964",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1063885",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64270788",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rlarocca15762@direct.nortonhealthcare.org",
"affiliation": "N",
"address_1": "315 E Broadway",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402023700",
"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": "315 E Broadway",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402023700",
"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 Oct 16, 2019; 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.