Active NPI
Daniel T Maurer, MD
- Orthopaedic Surgery Physician
- Louisville, KY
National Provider Identifier
1598769341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 24476
- Practice address
- 3991 Dutchmans LN
Suite 208
Louisville, KY 40207-4700 - Phone
- (502) 897-2440
- Fax
- (502) 897-2455
- NPI assigned
- Jun 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 24476 | KY | Primary |
Addresses
Primary practice location
3991 Dutchmans LN
Suite 208
Louisville, KY 40207-4700
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100355000 | Medicaid | IN | |
| 000000694577 | Other | KY | ANTHEM - NOTC |
| 50031099 | Other | KY | PASSPORT & PASSPORT ADVANTAGE - NOTC |
| 64244767 | Medicaid | KY | |
| 121690 | Other | KY | SIHO - NOTC |
| 000057080Y | Other | KY | HUMANA - NOTC |
| 1959517 | Other | KY | CIGNA - NOTC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
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. | Current | Accepting new patients | |
| Thompson and Chou Center for Physical | Past | Accepting new patients | |
| Daviess County Hospital | Past | Accepting new patients | |
| Thompson & Chou Center for Physical | Past | Accepting new patients |
Locations
13328 Shelbyville Rd
Louisville, KY 40223
Phone (502) 254-2223
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
Interoperability endpoints
- dmaurer11139@direct.nortonhealthcare.org
Organizations & group practices 4
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
-
- Specialist
- Louisville, KY
- NPI 1528062361
-
- Skilled Nursing Facility
- New Albany, IN
- NPI 1841625662
-
- Specialist
- New Albany, IN
- NPI 1811324494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1598769341",
"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": "3991 DUTCHMANS LN",
"address_2": "SUITE 208",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074700",
"telephone_number": "502-897-2440",
"fax_number": "502-897-2455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURER",
"first_name": "DANIEL",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KY",
"license": "24476",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100355000",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - NOTC",
"identifier": "000000694577",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT & PASSPORT ADVANTAGE - NOTC",
"identifier": "50031099",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64244767",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO - NOTC",
"identifier": "121690",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA - NOTC",
"identifier": "000057080Y",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA - NOTC",
"identifier": "1959517",
"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 Jul 12, 2016; 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.