Kenneth A. Gardner, M.D.
Individual provider Active NPI Family Medicine Physician · Eminence, KY
NPI 1710976352 · NPPES record last updated Mar 15, 2018
Key facts
- NPI
- 1710976352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 22049 (KY)
- Practice address
- 150 Fairview Court
Eminence, KY 40019 - Phone
- (502) 845-5672
- Fax
- (502) 845-1402
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 18
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Louisville School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Louisville Physicians Inc
PT Pros, Inc
Practice addresses (Care Compare)
401 E Chestnut St
Louisville, KY 40202-5700
Phone (502) 813-6410
4031 N Dixie Hwy
Suite 104
Elizabethtown, KY 42701-7873
Phone (270) 982-4776
Hospital & facility affiliations
- Caretenders
- Housecall Home Health, LLC Dba Adoration Home Health
- Uofl Health - Shelbyville Hospital
- Baptist Health Lagrange
- Norton Hospitals, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Uofl Health - Shelbyville Hospital |
Hospital | Corporate Director | Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040422000162 | KY | Practitioner - Emergency Medicine | 2163320326 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Family Medicine | Current |
Accepting new patients |
| University of Louisville Physicians, Inc. | Current |
Accepting new patients | |
| University of Louisville Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Acute Care Specialists, Inc. | Past | Accepting new patients | |
| Family Physician Associates PSC | Family Medicine | Past | 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
5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226
401 E Chestnut St
Louisville, KY 40202
Phone (502) 588-4400
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
Interoperability endpoints
- kgardner11707@uoflhealth-dm.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 22049 | KY | |
| Family Medicine Physician | 207Q00000X | 22049 | KY | Yes |
Addresses
Primary practice location
150 Fairview Court
Eminence, KY 40019
Mailing address
100 E Liberty St Ste 800
Louisville, KY 40202-1428
Phone (502) 845-5672
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64220494 | Medicaid | KY | |
| 00000048271 | Other | KY | ANTHEM |
| 00000048271 | Other | ANTHEM | |
| 0100485 | Other | UHC |
Other providers in Eminence, KY
- Bruce Frederick Cupp
- Suzanne Donahue
- Eminence Independent Schools
- First You Medical Center PLLC
- Jason Floyd
- Georgia P Harrod
- Henry County Ambulance Taxing District
- Henry County County Treasurer
- Henry Pharmacist Group, LLC
- Phillip B Herrell
All providers in Eminence, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.