Individual provider Active NPI

Megan Buttleman Coriell, MD

  • Pediatric Endocrinology Physician
  • Louisville, KY
National Provider Identifier
1689101552
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
53801 Issued in KY
Practice address
571 S Floyd St Ste 412
Louisville, KY 40202-3877
Phone
(502) 629-8828
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 009047 GA
Student in an Organized Health Care Education/Training Program 390200000X 53801 KY
Pediatric Endocrinology Physician 2080P0205X 53801 KY Primary

Addresses

Primary practice location

571 S Floyd St Ste 412
Louisville, KY 40202-3877

Mailing address

571 S Floyd St Ste 412
Louisville, KY 40202-3877

Other practice location 1

1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231003000508 KY Practitioner - Pediatric Medicine 0648519397 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53801KYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC Current Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Sep 1, 2023 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Sep 1, 2023 Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics Past Accepting new patients

Locations

411 E Chestnut St
#L7
Louisville, KY 40202

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

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

850 S 28th St
Ste 104
Louisville, KY 40211
Phone (502) 394-5678

411 E Chestnut St
#7
Louisville, KY 40202
Phone (502) 588-3400

9451 Westport Rd
Ste 122E
Louisville, KY 40241
Phone (502) 588-3400

Interoperability endpoints

  • Direct secure messaging: mbuttleman85184@direct.nortonhealthcare.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1689101552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 S FLOYD ST STE 412",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 S FLOYD ST STE 412",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023877",
            "telephone_number": "502-629-8828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120004",
            "country_code": "US",
            "telephone_number": "706-721-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORIELL",
        "first_name": "MEGAN",
        "middle_name": "BUTTLEMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "009047",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "53801",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "KY",
            "license": "53801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.