Active NPI
Michael Alt, DO
- Neurology Physician
- Louisville, KY
National Provider Identifier
1740227255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 02245
- Practice address
- 2934 Breckenridge LN Ste 2
Louisville, KY 40220-3903 - Phone
- (502) 454-7871
- Fax
- (502) 454-7872
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 02245 | KY | Primary |
Addresses
Primary practice location
2934 Breckenridge LN Ste 2
Louisville, KY 40220-3903
Mailing address
2934 Breckenridge LN Ste 2
Louisville, KY 40220-3903
Phone (502) 454-7871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64022452 | Medicaid | KY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080606000039 | KY | Practitioner - Neurology | 1759451487 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Philadelphia College of Osteopathic Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2934 Breckenridge LN
Suite 2
Louisville, KY 40220-3903
Phone (502) 454-7871
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Alt DO PSC | Neurology | Current | Accepting new patients |
| St Matthews Neurology PSC | Neurology | Past | Accepting new patients |
| Neurohealth Consultants, PLLC | Neurology | Past | Accepting new patients |
Locations
2934 Breckenridge Ln
Ste 2
Louisville, KY 40220
Phone (502) 454-7871
4002 Kresge Way
Ste 124
Louisville, KY 40207
Phone (502) 895-4263
Organizations & group practices 3
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": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397692800000",
"number": "1740227255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2934 BRECKENRIDGE LN STE 2",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402203903",
"telephone_number": "502-454-7871",
"fax_number": "502-454-7872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2934 BRECKENRIDGE LN STE 2",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402203903",
"telephone_number": "502-454-7871",
"fax_number": "502-454-7872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALT",
"first_name": "MICHAEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2014-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KY",
"license": "02245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64022452",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.