Individual provider Active NPI

Michael J Imburgia, MD

  • Cardiovascular Disease Physician
  • Louisville, KY
National Provider Identifier
1649278938
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
26431 Issued in KY
Practice address
310 E Broadway Ste 100
Louisville, KY 40202-1745
Phone
(502) 245-0002
Fax
(502) 742-0485
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 26431 KY Primary

Addresses

Primary practice location

310 E Broadway Ste 100
Louisville, KY 40202-1745

Mailing address

310 E Broadway Ste 100
Louisville, KY 40202-1745
Phone (502) 245-0002

Other identifiers 1

IdentifierTypeStateIssuer
64264310MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100724000202 KY Practitioner - Cardiovascular Disease (Cardiology) 9739079815 Reassigns benefits to 1 organization
I20121221000249 IN Practitioner - Cardiovascular Disease (Cardiology) 9739079815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Southern Illinois University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Have a Heart Foundation IncGroup PAC ID 9931443488, 3 clinicians

Practice addresses (Care Compare)

310 E Broadway
Suite 100
Louisville, KY 40202-1745
Phone (502) 245-0002

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Nov 13, 2012 Accepting new patients
Have a Heart Foundation Inc Cardiovascular Disease CurrentSince Nov 13, 2007 Accepting new patients
Diagnostic Medical Testing Inc Cardiovascular Disease CurrentSince Dec 1, 2021 Accepting new patients
Baptist Medical Associates, Inc Cardiovascular Disease Past Accepting new patients

Locations

1040 Monarch St
Ste 330
Lexington, KY 40513
Phone 8772021191 ext. 313

1425 W Broadway
Louisville, KY 40203
Phone (502) 245-0002

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

2215 Portland Ave
Louisville, KY 40212
Phone (502) 774-8631

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

310 E Broadway
Ste 100
Louisville, KY 40202
Phone (502) 245-0002

3015 Wilson Ave
Louisville, KY 40211
Phone (502) 774-4401

2400 Eastpoint Pkwy
Ste 580
Louisville, KY 40223
Phone (502) 893-7710

Interoperability endpoints

  • Direct secure messaging: michael.imburgia.1@14406.direct.athenahealth.com

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 1

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649278938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E BROADWAY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021745",
            "telephone_number": "502-245-0002",
            "fax_number": "502-742-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E BROADWAY STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021745",
            "telephone_number": "502-245-0002",
            "fax_number": "502-742-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBURGIA",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "26431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64264310",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.