Individual provider Active NPI

Delwyn E McOmber, MD

  • Pediatric Cardiology Physician
  • Louisville, KY
National Provider Identifier
1760431969
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
34007 Issued in KY
Practice address
916 Dupont Road
Louisville, KY 40207
Phone
(502) 454-7107
Fax
(502) 454-0347
NPI assigned
May 8, 2006
Last updated
Apr 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 34007 KY Primary

Addresses

Primary practice location

916 Dupont Road
Louisville, KY 40207

Mailing address

916 Dupont Road
Louisville, KY 40207
Phone (502) 454-7107

Other identifiers 2

IdentifierTypeStateIssuer
200426130MedicaidIN
64063803MedicaidKY

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
I20130212000293 KY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 0648445817 Reassigns benefits to 1 organization
I20210602002602 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 0648445817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
University of Louisville School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Childrens Medical Group LLCGroup PAC ID 3779917596, shared by 2 NPIs, 234 clinicians

Practice addresses (Care Compare)

721 W 13TH St
225 Norton Children's Cardiology
Jasper, IN 47546-1817
Phone (502) 588-7450

916 Dupont Rd
Louisville, KY 40207-4662
Phone (502) 588-7450

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.07
Promoting interoperability
100
Improvement activities
40
Cost
76.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34007KYMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC CurrentSince Jul 1, 2021 Accepting new patients
Norton Childrens Medical Group, LLC Current Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Jul 1, 2021 Accepting new patients
Norton Children's Medical Group, LLC Pediatric Cardiology CurrentSince Jul 1, 2021 Accepting new patients

Locations

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

721 W 13th St
Ste 225
Jasper, IN 47546
Phone (812) 482-0337

1919 State St
Ste 103
New Albany, IN 47150
Phone (812) 801-0800

1473 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-0844

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

916 DuPont Rd
Louisville, KY 40207
Phone (502) 454-7107

Interoperability endpoints

  • Direct secure messaging: dmcomber53770@direct.nortonhealthcare.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1760431969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 DUPONT ROAD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-454-7107",
            "fax_number": "502-454-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 DUPONT ROAD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-454-7107",
            "fax_number": "502-454-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCOMBER",
        "first_name": "DELWYN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "KY",
            "license": "34007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200426130",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64063803",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.