NPIMap

Individual provider Active NPI

Kathryn McCarthy Mullooly, MD

  • Orthopaedic Surgery of the Spine Physician
  • Louisville, KY
National Provider Identifier
1598921447
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
E-7445 Issued in AR
Practice address
4123 Dutchmans LN Ste 101
Louisville, KY 40207-4718
Phone
(502) 584-7525
Fax
(502) 584-6851
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X E-7445 AR Primary
Orthopaedic Surgery Physician 207X00000X 125051492 IL
Orthopaedic Surgery of the Spine Physician 207XS0117X 44341 KY

Addresses

Primary practice location

4123 Dutchmans LN Ste 101
Louisville, KY 40207-4718

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 5

IdentifierTypeStateIssuer
201029870OtherINMEDICAID- NORTON LEATHERMAN SPINE
K030600OtherKYMEDICARE PTAN -- NORTON LEATHERMAN SPINE
7100167920OtherKYMEDICAID- NORTON LEATHERMAN SPINE
193592001MedicaidAR
E-7445OtherARAR MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmccarthy36625@direct.nortonhealthcare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110730000026 KY Practitioner - Orthopedic Surgery 9638347008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arkansas College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

4123 Dutchmans LN
Suite 101
Louisville, KY 40207-4718
Phone (502) 899-6782

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion180
Laminectomy or laminotomy (partial removal of spine bones)36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125051492ILMDOrthopaedic Surgery Physician
E-7445ARMDOrthopaedic Surgery of the Spine Physician
44341KYMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Community Medical Associates, Inc. Orthopaedic Surgery of the Spine CurrentSince Sep 1, 2022 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

4123 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 559-1777

210 E Gray St
Ste 900
Louisville, KY 40202
Phone (502) 584-8002

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1598921447",
    "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 STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074718",
            "telephone_number": "502-584-7525",
            "fax_number": "502-584-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY MULLOOLY",
        "first_name": "KATHRYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AR",
            "license": "E-7445",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "125051492",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KY",
            "license": "44341",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID- NORTON LEATHERMAN SPINE",
            "identifier": "201029870",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN -- NORTON LEATHERMAN SPINE",
            "identifier": "K030600",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-  NORTON LEATHERMAN SPINE",
            "identifier": "7100167920",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193592001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR MEDICAL LICENSE",
            "identifier": "E-7445",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmccarthy36625@direct.nortonhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4123 Dutchmans Ln Ste 101",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.