NPIMap

Individual provider Active NPI

Nathan Lamborn, MD

  • Interventional Pain Medicine Physician
  • Louisville, KY
National Provider Identifier
1720494537
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
52769 Issued in KY
Practice address
11300 Maple Brook Dr
Louisville, KY 40241-2080
Phone
(502) 253-0505
Fax
(502) 530-5303
NPI assigned
Jul 1, 2014
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 52769 KY
Pain Medicine (Anesthesiology) Physician 207LP2900X 52769 KY
Interventional Pain Medicine Physician 208VP0014X 52769 KY Primary

Addresses

Primary practice location

11300 Maple Brook Dr
Louisville, KY 40241-2080

Mailing address

11300 Maple Brook Dr
Louisville, KY 40241-2080
Phone (502) 253-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190805001350 KY Practitioner - Anesthesiology 3072735596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Colorado School of Medicine, Denver, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11300 Maple Brook Dr
Louisville, KY 40241-2080
Phone (502) 253-0505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
85.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
GML Pain MD PSC Interventional Pain Medicine CurrentSince Jun 20, 2019 Accepting new patients

Locations

11300 Maple Brook Dr
Louisville, KY 40241
Phone (502) 253-0505

Organizations & group practices 1

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.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1720494537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 MAPLE BROOK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412080",
            "telephone_number": "502-253-0505",
            "fax_number": "502-530-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 MAPLE BROOK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412080",
            "telephone_number": "502-253-0505",
            "fax_number": "502-530-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBORN",
        "first_name": "NATHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "52769",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KY",
            "license": "52769",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KY",
            "license": "52769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.