NPIMap

Individual provider Active NPI

Jonathan S Sagum, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Louisville, KY
National Provider Identifier
1629236658
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
40830 Issued in KY
Practice address
2355 Poplar Level Rd
Suite 301
Louisville, KY 40217-1395
Phone
(502) 636-0406
Fax
(502) 636-5137
NPI assigned
May 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 40830 KY Primary

Addresses

Primary practice location

2355 Poplar Level Rd
Suite 301
Louisville, KY 40217-1395

Mailing address

PO Box 766351
Chicago, IL 60677-6351
Phone (502) 588-9490

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jsagum88618@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20150302001644 KY Practitioner - Endocrinology 7113071267 Reassigns benefits to 1 organization
I20250129001553 IN Practitioner - Internal Medicine 7113071267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
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)

130 Hunter Station Way
Suite 101
Sellersburg, IN 47172-8931
Phone (812) 248-6020

150 Franfort Rd
Shelbyville, KY 40065-7401

210 E Gray St
Louisville, KY 40202-3903
Phone (502) 629-5400

2355 Poplar Level Rd
Louisville, KY 40217-1388

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

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
TP192KYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Mar 1, 2015 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Mar 1, 2015 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

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

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

130 Hunter Station Way
Ste 101
Sellersburg, IN 47172
Phone (812) 246-4808

2410 Ring Rd
Ste 500
Elizabethtown, KY 42701
Phone (270) 765-5900

157 Towne Dr
Ste 102
Elizabethtown, KY 42701
Phone (502) 559-3636

1230 Market St
Ste A
La Grange, KY 40031
Phone (502) 225-6900

4420 Dixie Hwy
Ste 114
Louisville, KY 40216
Phone (502) 449-6464

850 S 28th St
Ste 102
Louisville, KY 40211
Phone (502) 629-5400

9880 Angies Way
Ste 420
Louisville, KY 40241
Phone (502) 394-6200

210 E Gray St
Ste 605
Louisville, KY 40202
Phone (502) 559-3636

2355 Poplar Level Rd
Ste 301
Louisville, KY 40217
Phone (502) 559-3636

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

9451 Westport Rd
Ste 122B
Louisville, KY 40241
Phone (502) 559-3636

300 High Point Ct
Ste B
Mt Washington, KY 40047
Phone (502) 955-6129

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1629236658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 766351",
            "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": "2355 POPLAR LEVEL RD",
            "address_2": "SUITE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171395",
            "telephone_number": "502-636-0406",
            "fax_number": "502-636-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGUM",
        "first_name": "JONATHAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KY",
            "license": "40830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsagum88618@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "2355 Poplar Level Rd",
            "address_2": "Suite 301",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "2355 Poplar Level Rd",
            "address_2": "Suite 301",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.