Individual provider Active NPI

Gurbachan S Sohi, MD

  • Cardiovascular Disease Physician
  • Louisville, KY
National Provider Identifier
1760433080
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
17652 Issued in KY
Practice address
100 Mallard Creek Rd
Suite 150
Louisville, KY 40207-4194
Phone
(502) 589-7907
Fax
(502) 589-1319
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 17652 KY Primary
Cardiovascular Disease Physician 207RC0000X 01038328 IN

Addresses

Primary practice location

100 Mallard Creek Rd
Suite 150
Louisville, KY 40207-4194

Mailing address

100 Mallard Creek Rd
Suite 150
Louisville, KY 40207-4194
Phone (502) 589-7907

Other identifiers 2

IdentifierTypeStateIssuer
64176522MedicaidKY
100354370MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080806000614 KY Practitioner - Cardiovascular Disease (Cardiology) 0143302539

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01038328INMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Clark Physician Practices, LLC Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

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, 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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1760433080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MALLARD CREEK RD",
            "address_2": "SUITE 150",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074194",
            "telephone_number": "502-589-7907",
            "fax_number": "502-589-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MALLARD CREEK RD",
            "address_2": "SUITE 150",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074194",
            "telephone_number": "502-589-7907",
            "fax_number": "502-589-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHI",
        "first_name": "GURBACHAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "17652",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01038328",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64176522",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100354370",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.