NPIMap

Individual provider Active NPI

Chris Olaf Gustafson, MD

  • Anesthesiology Physician
  • Louisville, KY
National Provider Identifier
1639339096
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
57886 Issued in KY
Practice address
200 Abraham Flexner Way
Louisville, KY 40202-2877
Phone
(502) 587-4404
Fax
(502) 587-4156
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 57886 KY Primary
Anesthesiology Physician 207L00000X TP347 KY
Anesthesiology Physician 207L00000X MD28282 OR
Anesthesiology Physician 207L00000X 258492 NY

Addresses

Primary practice location

200 Abraham Flexner Way
Louisville, KY 40202-2877

Mailing address

PO Box 35147
Seattle, WA 98124-5147
Phone (503) 299-9906

Other practice location 1

707 SW Washington St Ste 700
Portland, OR 97205-3523
Phone (503) 299-9906

Other identifiers 5

IdentifierTypeStateIssuer
242401MedicaidOR
P00636102OtherORRR MEDICARE
300073407MedicaidIN
7100881680MedicaidKY
8515660MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NY, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080723000700 OR Practitioner - Anesthesiology 3678646601 Reassigns benefits to 4 organizations
I20101122000379 NY Practitioner - Anesthesiology 3678646601 Reassigns benefits to 1 organization
I20230308002841 KY Practitioner - Anesthesiology 3678646601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians
Oregon Anesthesiology Group PCGroup PAC ID 3476451659, 239 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 299-9906

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
258492NYMDAnesthesiology Physician
MD28282ORMDAnesthesiology Physician
TP347KYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Feb 20, 2023 Accepting new patients
U of R Anesthesiology Group Anesthesiology CurrentSince Feb 6, 2024 Accepting new patients
Salem Health CurrentSince Jun 3, 2024 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Nov 27, 2023 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Nov 27, 2023 Accepting new patients
University of Louisville Physicians, Inc. Anesthesiology Current Accepting new patients
Salem Health West Valley CurrentSince Jun 3, 2024 Accepting new patients
Salem Health CurrentSince Jun 3, 2024 Accepting new patients
Salem Health Current Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Anesthesiology CurrentSince Apr 18, 2025 Accepting new patients
University of Louisville Physicians CurrentSince Feb 20, 2023 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Jan 1, 2017 Accepting new patients
Oag Trauma Services LLC Anesthesiology PastSince Apr 21, 2017 Accepting new patients
Medical Anesthesia Consultants Medical Group, Inc. Anesthesiology Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245

7752 Solution Ctr
Chicago, IL 60677

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

601 Elmwood Ave
#320
Rochester, NY 14642

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344

1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1639339096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35147",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981245147",
            "telephone_number": "503-299-9906",
            "fax_number": "503-225-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ABRAHAM FLEXNER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022877",
            "telephone_number": "502-587-4404",
            "fax_number": "502-587-4156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 SW Washington St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972053523",
            "country_code": "US",
            "telephone_number": "503-299-9906",
            "fax_number": "503-225-9002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "CHRIS",
        "middle_name": "OLAF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "57886",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "TP347",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD28282",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "258492",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242401",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00636102",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300073407",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100881680",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8515660",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.