NPIMap

Individual provider Active NPI

Sean N Reynolds, MD

  • Diagnostic Radiology Physician
  • Louisville, KY
National Provider Identifier
1679882591
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
51479 Issued in KY
Practice address
530 S Jackson St
Louisville, KY 40202-1675
Phone
(502) 852-5875
NPI assigned
Sep 27, 2010
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57017928 OH
Diagnostic Radiology Physician 2085R0202X 042.0013132 VT
Diagnostic Radiology Physician 2085R0202X 51479 KY Primary

Addresses

Primary practice location

530 S Jackson St
Louisville, KY 40202-1675

Mailing address

PO Box 909
Louisville, KY 40201-0909

Other practice location 1

111 Colchester Ave.
UVM Medical Center - Radiology
Burlington, VT 05401
Phone (802) 847-5057

Other practice location 2

800 Rose St
Lexington, KY 40536-0293
Phone (859) 323-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, KY2 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
I20150805006856 VT Practitioner - Diagnostic Radiology 5294049219 Reassigns benefits to 2 organizations
I20181108001175 KY Practitioner - Diagnostic Radiology 5294049219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Physicians and Surgeons, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 852-5851

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57017928OHMDInternal Medicine Physician
042.0013132VTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Center, Inc CurrentSince Dec 22, 2016 Accepting new patients
Northwestern Medical Center, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. Diagnostic Radiology CurrentSince Jul 25, 2019 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. Internal Medicine Current Accepting new patients
Northwestern Medical Center, Inc. CurrentSince Dec 22, 2016 Accepting new patients
University of Louisville Physicians CurrentSince Jul 25, 2019 Accepting new patients
University of Vermont Medical Center Inc Internal Medicine CurrentSince Jun 15, 2015 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

150 Fairview Ct
Eminence, KY 40019
Phone (502) 845-5672

170 Dr Arla Way
Ste 101
Louisville, KY 40229
Phone (502) 888-1988

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

5129 Dixie Hwy
Louisville, KY 40216
Phone (502) 447-3242

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

530 S Jackson St
#C7
Louisville, KY 40202
Phone (502) 582-5875

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

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

Interoperability endpoints

  • Direct secure messaging: sreynolds71709@direct.uvmhealth.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1679882591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S JACKSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021675",
            "telephone_number": "502-852-5875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colchester Ave.",
            "address_2": "UVM Medical Center - Radiology",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "05401",
            "country_code": "US",
            "telephone_number": "802-847-5057",
            "fax_number": "802-847-4822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360293",
            "country_code": "US",
            "telephone_number": "859-323-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SEAN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-27",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57017928",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "042.0013132",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "51479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.