NPIMap

Individual provider Active NPI

Joseph Matt Pittard, M.D.

  • Internal Medicine Physician
  • Paducah, KY
National Provider Identifier
1629147574
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24514 Issued in KY
Practice address
225 Medical Center Drive
Suite 201
Paducah, KY 42003
Phone
(270) 441-4200
Fax
(270) 441-4249
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24514 KY Primary

Addresses

Primary practice location

225 Medical Center Drive
Suite 201
Paducah, KY 42003

Mailing address

2200 Jefferson Ave
5TH Floor Mercy Pho/Cvo
Toledo, OH 43604-7101

Other identifiers 1

IdentifierTypeStateIssuer
64245145MedicaidKY

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
I20090421000698 KY Practitioner - General Practice 6709933120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Louisville School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Kentucky LLCGroup PAC ID 1153488648, 20 clinicians

Practice addresses (Care Compare)

225 Medical Ctr Dr
Suite 101
Paducah, KY 42003-7934
Phone (270) 441-4357

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Mercy Health Physicians Kentucky LLC CurrentSince Mar 1, 2017 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Mercy Health-Lourdes Hospital LLC Past Accepting new patients

Locations

1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537

225 Medical Center Dr
Ste 101
Paducah, KY 42003
Phone (270) 441-4357

225 Medical Center Dr
Ste 201
Paducah, KY 42003
Phone (270) 441-4200

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

225 Medical Center Dr
Ste 302
Paducah, KY 42003
Phone (270) 441-4300

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

Interoperability endpoints

  • Direct secure messaging: jpittard194718@direct.bsmhealth.org

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1629147574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "address_2": "5TH FLOOR MERCY PHO/CVO",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 201",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42003",
            "telephone_number": "270-441-4200",
            "fax_number": "270-441-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTARD",
        "first_name": "JOSEPH",
        "middle_name": "MATT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "24514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64245145",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.