Individual provider Active NPI

Erica L Bailen, M.D.

  • Pediatrics Physician
  • Louisville, KY
National Provider Identifier
1710077888
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
45212 Issued in KY
Practice address
100 Mallard Creek Rd Ste 395
Louisville, KY 40207-5167
Phone
(502) 895-9421
Fax
(502) 899-5762
NPI assigned
Oct 13, 2006
Last updated
Feb 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 45212 KY Primary

Addresses

Primary practice location

100 Mallard Creek Rd Ste 395
Louisville, KY 40207-5167

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 2

IdentifierTypeStateIssuer
5917585MedicaidNC
001404100MedicaidFL

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
I20120928000592 KY Practitioner - Pediatric Medicine 8426106972 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45212KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Musculoskeletal Associates PLLC CurrentSince Jun 5, 2025 Accepting new patients
Community Medical Associates, Inc. Pediatrics CurrentSince Sep 1, 2012 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2012 Accepting new patients
Norton Children's Medical Group, LLC Pediatrics CurrentSince Mar 1, 2020 Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics Past Accepting new patients

Locations

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

217 Breckenridge Ln
Louisville, KY 40207
Phone (502) 895-1900

4123 Dutchmans Ln
Ste 102
Louisville, KY 40207
Phone (502) 559-1670

506 Executive Park
Louisville, KY 40207
Phone (502) 213-3807

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

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

Interoperability endpoints

  • Direct secure messaging: ebailen15478@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1710077888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "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": "100 MALLARD CREEK RD STE 395",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075167",
            "telephone_number": "502-895-9421",
            "fax_number": "502-899-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEN",
        "first_name": "ERICA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "45212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917585",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001404100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.