NPIMap

Individual provider Active NPI

Maroun Maurice Ghossein, MD

  • Pulmonary Disease Physician
  • Louisville, KY
National Provider Identifier
1619233723
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
52259 Issued in KY
Practice address
100 W Market St Ste 2
Louisville, KY 40202-1332
Phone
(502) 587-8000
Fax
(502) 583-8001
NPI assigned
Apr 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.021073 OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 52259 KY
Pediatrics Physician 208000000X 57.021073 OH
Pulmonary Disease Physician 207RP1001X 52259 KY Primary

Addresses

Primary practice location

100 W Market St Ste 2
Louisville, KY 40202-1332

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 272-5754

Other practice location 1

700 children's dr - ed650a
OSU/NCH internal medicine-pediatrics residency
Columbus, OH 43205
Phone (614) 355-9000

Other identifiers 2

IdentifierTypeStateIssuer
300031621MedicaidIN
7100628490MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mghossein160159@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190927001750 IN Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 8426285776 Reassigns benefits to 1 organization
I20191029003023 KY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 8426285776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Alabama School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-7225

100 W Market St
Suite 2
Louisville, KY 40202-1332
Phone (502) 587-8000

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

207 Sparks Ave
Jeffersonville, IN 47130-3739
Phone (502) 587-8000

4915 Norton Healthcare Blvd
Suite 103
Louisville, KY 40241-2832
Phone (502) 446-6635

4955 Norton Healthcare Blvd
FL 2
Louisville, KY 40241-2832
Phone (502) 394-6350

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8125

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52259KYMDCritical Care Medicine (Internal Medicine) Physician
57.021073OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Community Medical Associates, Inc. Internal Medicine Current Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Pediatrics Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

1263 Hospital Dr NW
Ste 100
Corydon, IN 47112
Phone (502) 888-1988

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

207 Sparks Ave
Ste 402
Jeffersonvlle, IN 47130
Phone (812) 283-7818

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1461 N Gardner St
Scottsburg, IN 47170
Phone (812) 282-8494

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

100 W Market St
Ste 2
Louisville, KY 40202

300 High Point Ct
Mt Washington, KY 40047
Phone (502) 447-4595

700 Childrens Dr
#650A
Columbus, OH 43205
Phone (614) 722-0417

Organizations & group practices 5

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1619233723",
    "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": "502-272-5754",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MARKET ST STE 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021332",
            "telephone_number": "502-587-8000",
            "fax_number": "502-583-8001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 children's dr - ed650a",
            "address_2": "OSU/NCH internal medicine-pediatrics residency",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43205",
            "country_code": "US",
            "telephone_number": "614-355-9000",
            "fax_number": "614-355-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOSSEIN",
        "first_name": "MAROUN",
        "middle_name": "MAURICE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.021073",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "52259",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "57.021073",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "52259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300031621",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100628490",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mghossein160159@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "100 W Market St Ste 2",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "100 W Market St Ste 2",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.