Individual provider Active NPI

Donald R Neel, MD

  • Pediatrics Physician
  • Louisville, KY
National Provider Identifier
1760483242
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
13868 Issued in KY
Practice address
3026 Poplar Level Rd
Louisville, KY 40217-1301
Phone
(502) 636-4929
Fax
(502) 394-3629
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME123112 FL
Pediatrics Physician 208000000X 13868 KY Primary

Addresses

Primary practice location

3026 Poplar Level Rd
Louisville, KY 40217-1301

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 2

IdentifierTypeStateIssuer
014440900MedicaidFL
64138688MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/
Direct Messaging Address dneel157279@direct.nortonhealthcare.org

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
I20150226000215 KY Practitioner - Pediatric Medicine 8729304357 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME123112FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics CurrentSince Mar 1, 2020 Accepting new patients
Regional Health Care Affiliates, Inc. CurrentSince Jan 11, 2015 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Pediatrics CurrentSince May 1, 2019 Accepting new patients
Community Medical Associates, Inc. CurrentSince May 1, 2019 Accepting new patients
Regional Health Care Affiliates Inc CurrentSince Jan 11, 2015 Accepting new patients

Locations

3026 Poplar Level Rd
Louisville, KY 40217
Phone (502) 636-4929

7926 Preston Hwy
Ste 210
Louisville, KY 40219
Phone (502) 309-9811

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

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

215 E Main St
Providence, KY 42450
Phone (270) 667-7017

Interoperability endpoints

  • Direct secure messaging: dneel@pa.trimed.direct-ci.com

Organizations & group practices 8

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1760483242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 POPLAR LEVEL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171301",
            "telephone_number": "502-636-4929",
            "fax_number": "502-394-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEL",
        "first_name": "DONALD",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME123112",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "13868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014440900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64138688",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3026 Poplar Level Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dneel157279@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "3026 Poplar Level Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402171301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.