Individual provider Active NPI

Thomas Wayne McKain, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Louisville, KY
National Provider Identifier
1720002207
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
40202 Issued in KY
Practice address
6200 Dutchmans LN
Louisville, KY 40205-3271
Phone
(502) 456-6200
Fax
(502) 456-6655
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01032904A IN
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 01032904A IN
Family Medicine Physician 207Q00000X 40202 KY
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 40202 KY Primary

Addresses

Primary practice location

6200 Dutchmans LN
Louisville, KY 40205-3271

Mailing address

6200 Dutchmans LN
Louisville, KY 40205-3271
Phone (502) 456-6200

Other practice location 1

502 Hausfeldt Ln
New Albany, IN 47150-2221
Phone (502) 456-6200

Other identifiers 2

IdentifierTypeStateIssuer
64080377MedicaidKY
50015951OtherKYPASSPORT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmckain@hosparus.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040421001064 IN Practitioner - Family PracticePractitioner - Hospice/Palliative Care 5890781314 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01032904AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hosparus Inc. Family Medicine CurrentSince May 28, 2019 Accepting new patients
Hosparus Palliative Care Inc. Family Medicine Past Accepting new patients

Locations

502 Hausfeldt Ln
New Albany, IN 47150
Phone (502) 456-6200

3532 Ephraim McDowell Dr
Louisville, KY 40205
Phone (502) 456-6200

6200 Dutchmans Ln
Louisville, KY 40205
Phone (502) 456-6200

3532 Ephraim McDowell Dr
Ofc
Louisville, KY 40205

Organizations & group practices 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1720002207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053271",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053271",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 Hausfeldt Ln",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471502221",
            "country_code": "US",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKAIN",
        "first_name": "THOMAS",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01032904A",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "IN",
            "license": "01032904A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "40202",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "KY",
            "license": "40202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64080377",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50015951",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmckain@hosparus.org",
            "affiliation": "N",
            "address_1": "6200 Dutchmans Ln",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.