Dennis S Peppas, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

48025 Issued in KY

Practice address

4123 Dutchman'S Lane
Suite 102
Louisville, KY 40207-5832

Phone

(502) 559-1670

Fax

(502) 559-1679

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: dpeppas78104@direct.nortonhealthcare.org

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1619986973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "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 DUTCHMAN'S LANE",
            "address_2": "SUITE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075832",
            "telephone_number": "502-559-1670",
            "fax_number": "502-559-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPAS",
        "first_name": "DENNIS",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "48025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168822802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIDC",
            "identifier": "168822801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hawkins Pentecost, APRN, FNP-C, CLC
• Karina Michelle Pentecost, ARNP
• Roger Jay Pentzien, M.D.
• Kaitlin Lee Peperato Dye, RN
• Lee Stanley Peplinski, OD
• Iyanna Peppers, MD
• Samuel Joseph Pera, M.D.
• Perception Plus Imaging Services LLC
• Mario Manuel Perdomo Santa Cruz, RNFA
• Andrew Perdue

• Urology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Urology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.