NPIMap

Individual provider Active NPI

Nicholas Erik Rebhan, MD

  • Pediatric Cardiology Physician
  • Louisville, KY
National Provider Identifier
1760837520
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
60432 Issued in KY
Practice address
411 E Chestnut St Ste 544
Louisville, KY 40202-1713
Phone
(502) 629-5437
NPI assigned
Apr 29, 2016
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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 60432 KY
Pediatric Cardiology Physician 2080P0202X 60432 KY Primary

Addresses

Primary practice location

411 E Chestnut St Ste 544
Louisville, KY 40202-1713

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 559-9407

Other practice location 1

411 E Chestnut St # 5B
Louisville, KY 40202-1713
Phone (502) 588-7450

Other identifiers 1

IdentifierTypeStateIssuer
7100981750MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN, KY4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20200930000981 VA Practitioner - Pediatric MedicinePractitioner - Internal Medicine 7517251531 Reassigns benefits to 1 organization
I20201117003235 VA Practitioner - Internal Medicine 7517251531 Reassigns benefits to 1 organization
I20240717003533 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 7517251531
I20250722002145 KY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 7517251531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Wayne State University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4910 Chamberlain LN
Louisville, KY 40241-1110
Phone (502) 588-0390

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60432KYMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
Vibra Physicians LLC CurrentSince Oct 1, 2020 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Aug 1, 2025 Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics Past Accepting new patients

Locations

5 E River Park Pl E
Ste 460
Fresno, CA 93720

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330

411 E Chestnut St
#5B
Louisville, KY 40202
Phone (502) 588-2330

411 E Chestnut St
Ste 544
Louisville, KY 40202
Phone (502) 629-5437

4910 Chamberlain Ln
Louisville, KY 40241
Phone (502) 446-5000

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

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1760837520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-559-9407",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E CHESTNUT ST STE 544",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021713",
            "telephone_number": "502-629-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 E Chestnut St # 5B",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021713",
            "country_code": "US",
            "telephone_number": "502-588-7450",
            "fax_number": "502-588-7728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REBHAN",
        "first_name": "NICHOLAS",
        "middle_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "60432",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "KY",
            "license": "60432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100981750",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.