Individual provider Active NPI

Andrew Michael Lally, M.D.

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1740627108
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
49076 Issued in KY
Practice address
3532 Ephraim McDowell Dr
Louisville, KY 40205
Phone
(502) 456-6200
Fax
(502) 456-6655
NPI assigned
May 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49076 KY Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 49076 KY

Addresses

Primary practice location

3532 Ephraim McDowell Dr
Louisville, KY 40205

Mailing address

550 S Jackson St
Acb, 3Rd Floor Medicine Office
Louisville, KY 40202-1622
Phone (502) 852-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170405002530 KY Practitioner - Internal Medicine 1557661097 Reassigns benefits to 1 organization
I20181205000147 IN Practitioner - Internal Medicine 1557661097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Guide Partners IncGroup PAC ID 7719266402, shared by 2 NPIs, 32 clinicians

Practice addresses (Care Compare)

502 Hausfeldt LN
New Albany, IN 47150-2221
Phone (812) 945-4596

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

Hospital & facility affiliations

  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hosparus Inc. CurrentSince May 28, 2019 Accepting new patients
Care Guide Partners Inc Hospice and Palliative Medicine CurrentSince Feb 22, 2017 Accepting new patients
Care Guide Partners Inc Internal Medicine CurrentSince Feb 22, 2017 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
Ste 200
Louisville, KY 40205
Phone (502) 456-6200

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

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1369440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1740627108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S JACKSON ST",
            "address_2": "ACB, 3RD FLOOR MEDICINE OFFICE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021622",
            "telephone_number": "502-852-5666",
            "fax_number": "502-852-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 EPHRAIM MCDOWELL DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40205",
            "telephone_number": "502-456-6200",
            "fax_number": "502-456-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLY",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-25",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "49076",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "KY",
            "license": "49076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.