Emad Resul Erzurumlu, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

57581 Issued in KY

Practice address

3939 7TH Street Rd
Louisville, KY 40216-4103

Phone

(502) 883-6800

Fax

(502) 384-2316

NPI assigned

Jul 15, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Emad Rasoul Arzrumly Former name

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

Specialty

Internal Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Montgomery Family Care LLCGroup PAC ID 5890101471, 12 clinicians

Casa San Pio Clinics of Appalachia LLCGroup PAC ID 2668639485, 10 clinicians

Community Family Clinic PLLCGroup PAC ID 7214940790, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Casa San Pio Clinics of Appalachia, LLC

  • Rural Health Clinic/Center
  • Stanton, KY
  • NPI 1982976700
  Medicare reassignment Care Compare group
• Community Family Clinic PLLC

  • Rural Health Clinic/Center
  • Frenchburg, KY
  • NPI 1427082338
  Medicare reassignment Care Compare group
• Montgomery Family Care LLC

  • Rural Health Clinic/Center
  • Mt Sterling, KY
  • NPI 1659961431
  Medicare reassignment Care Compare group
• PMR Ky Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1740737709

  KY

  Medicare reassignment NPD

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1790169266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 7TH STREET RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164103",
            "telephone_number": "502-883-6800",
            "fax_number": "502-384-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 7TH STREET RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164103",
            "telephone_number": "502-883-6800",
            "fax_number": "502-384-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESUL ERZURUMLU",
        "first_name": "EMAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-15",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "57581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMAD",
            "last_name": "RASOUL ARZRUMLY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Restorative Pain Institute
• Restore & Flow Studio
• Restore Rehabilitation
• Restore Wellness
• Restoring New Hope LLC
• Estefania Retallick
• Retina Associates, PSC
• Retina Associates, PSC
• Retina Associates, PSC
• Retina Associates, PSC (The Eye Care Institute)

• Internal Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.