Individual provider Active NPI

Rebecca Elaine Metry, M.D.

  • Pediatrics Physician
  • Louisville, KY
National Provider Identifier
1679968614
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
51270 Issued in KY
Practice address
230 E Broadway
Louisville, KY 40202
Phone
(502) 629-8990
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 51270 KY Primary

Addresses

Primary practice location

230 E Broadway
Louisville, KY 40202

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rmetry60826@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

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
I20181105001230 KY Practitioner - Pediatric Medicine 8224381439 Reassigns benefits to 2 organizations
I20190606002345 IN Practitioner - Pediatric Medicine 8224381439 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51270KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 2, 2018 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Pediatrics CurrentSince Oct 2, 2018 Accepting new patients
Norton Children'S Medical Group, LLC Pediatrics CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Associates, Inc. Pediatrics Past Accepting new patients

Locations

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

3118 E 10th St
Ste B
Jeffersonvlle, IN 47130
Phone (812) 282-6979

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

4 Physicians Park
Frankfort, KY 40601
Phone (502) 223-8400

4420 Dixie Hwy
Ste 126
Louisville, KY 40216
Phone (502) 810-3780

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

3026 Poplar Level Rd
Louisville, KY 40217
Phone (502) 636-4929

4010 DuPont Cir
Ste 283
Louisville, KY 40207
Phone (502) 897-1727

230 E Broadway
Louisville, KY 40202
Phone (502) 629-8901

2933 Breckenridge Ln
Ste 102
Louisville, KY 40220
Phone (502) 588-9588

7926 Preston Hwy
Ste 210
Louisville, KY 40219
Phone (502) 309-9811

230 E Broadway
Ste 104
Louisville, KY 40202

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

9880 Angies Way
Ste 400
Louisville, KY 40241
Phone (502) 394-6500

5211 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 966-3918

5109 New Cut Rd
Louisville, KY 40214
Phone (502) 361-1197

5721 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-1144

571 S Floyd St
Ste 412
Louisville, KY 40202
Phone (502) 629-8828

100 Mallard Creek Rd
Ste 395
Louisville, KY 40207
Phone (502) 895-9421

150 Frankfort Rd
Ste 101
Shelbyville, KY 40065
Phone (502) 647-5468

115 Huston Dr
Ste 2
Shepherdsville, KY 40165
Phone (502) 459-3760

Interoperability endpoints

  • Direct secure messaging: rmetry60826@direct.nortonhealthcare.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1679968614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "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": "230 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "502-629-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METRY",
        "first_name": "REBECCA",
        "middle_name": "ELAINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "51270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmetry60826@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "230 E Broadway",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "230 E Broadway",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.