NPIMap

Organization Active NPI

Radius Anesthesia of Kentucky, PLLC

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1679020689
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
RADIUS ANESTHESIA OF KENTUCKY, PLLC
Practice address
4965 US Highway 42
Louisville, KY 40222-6372
Phone
(888) 589-8550
Fax
(201) 604-6571
NPI assigned
Sep 7, 2016
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Haroon Chaudhry, MDNPI 1881792919
Title
President
Phone
(917) 621-6854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

4965 US Highway 42
Louisville, KY 40222-6372

Mailing address

111 Town Square PL Ste 420
Jersey City, NJ 07310-1724
Phone (888) 589-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170224002382 KY Part B Supplier - Clinic/Group Practice 6002190758 Receives reassigned benefits from 44 practitioners
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory
Tax ID family
Radius Anesthesia of Kentucky PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4965 US Highway 42
Louisville, KY 40222

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1679020689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TOWN SQUARE PL STE 420",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101724",
            "telephone_number": "888-589-8550",
            "fax_number": "201-604-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4965 US HIGHWAY 42",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226372",
            "telephone_number": "888-589-8550",
            "fax_number": "201-604-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIUS ANESTHESIA OF KENTUCKY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "HAROON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-621-6854",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.