Individual provider Active NPI

Richard Paulsen, M.D.

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1780692996
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
32129 Issued in KY
Practice address
401 N Senate Ave
Indianapolis, IN 46204-1244
Phone
(502) 587-4231
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 32129 KY Primary

Addresses

Primary practice location

401 N Senate Ave
Indianapolis, IN 46204-1244

Mailing address

PO Box 7159
Louisville, KY 40257-0159
Phone (502) 896-9793

Other identifiers 9

IdentifierTypeStateIssuer
000000209077OtherKYANTHEM BLUE FACET
200343520OtherKYMANAGED HEALTH SERVICES
009933837MedicaidAL
3810004750MedicaidWV
64037963MedicaidKY
1148146MedicaidKY
2564943MedicaidOH
200343520MedicaidIN
9097732-00MedicaidFL

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
I20100927001406 KY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4385725175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Louisville School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, shared by 19 NPIs, 339 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

12613 Taylorsville Rd
Louisville, KY 40299-5496
Phone (502) 267-1480

3900 Kresge Way
Suite 51
Louisville, KY 40207-4690
Phone (502) 259-5955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2020 Accepting new patients
Mid-South Imaging & Therapeutics, P.a. Diagnostic Radiology Past Accepting new patients
Baptist Healthcare System Inc. Past Accepting new patients
Radiology Associates Inc Diagnostic Radiology Past Accepting new patients

Locations

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

3900 Kresge Way
Ste 51
Louisville, KY 40207
Phone (502) 259-5955

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

10216 Taylorsville Rd
Louisville, KY 40299
Phone (502) 267-7453

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1780692996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7159",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402570159",
            "telephone_number": "502-896-9793",
            "fax_number": "502-896-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N SENATE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041244",
            "telephone_number": "502-587-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "32129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE FACET",
            "identifier": "000000209077",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH SERVICES",
            "identifier": "200343520",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933837",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004750",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64037963",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1148146",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2564943",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200343520",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9097732-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.