NPIMap

Individual provider Active NPI

Priscilla A Villaroman, M.D.

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1790740199
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37986 Issued in KY
Practice address
825 Barret Ave
Louisville, KY 40204-1743
Phone
(502) 540-7200
Fax
(502) 540-7207
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01046413A IN
Internal Medicine Physician 207R00000X 37986 KY Primary

Addresses

Primary practice location

825 Barret Ave
Louisville, KY 40204-1743

Mailing address

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

Other identifiers 16

IdentifierTypeStateIssuer
000023033COtherINHUMANA- NORTON
2447469000OtherINPASSPORT ADVAN-N ALBANY
3315960000OtherPASSOPRT ADVANTAGE / NMCA BARRET
50006201OtherPASSPORT / NCMA NEW ALBANY
1204806OtherINCHA- NORTON
7100009560MedicaidKY
50016180OtherINPASSPORT- BARRET AVENORT
P00410683OtherKYRAILROAD MEDICARE
1361920OtherKYMEDICARE
200153800MedicaidIN
007048OtherINSIHO- NORTON
1902282OtherINCIGNA- NORTON
2447469000OtherPASSPORT ADVANTAGE / NCMA NEW ALBANY
200153800OtherINMD WISE- NORTON
000000300133OtherINANTHEM- NORTON
P00021727OtherINRAILROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pvillaroman5141@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031202000005 KY Practitioner - Internal Medicine 5799680914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01046413AINMDInternal Medicine Physician
37986KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jul 27, 2003 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Jul 27, 2003 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients
Scott Physician Group LLC Past Accepting new patients
Scott Memorial Hospital Past Accepting new patients
Community Medical Associates, Inc. Internal Medicine Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1465 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-0001

157 Towne Dr
Ste 104
Elizabethtown, KY 42701
Phone (270) 769-2273

202 Limestone St S
Ste 1C
Frankfort, KY 40601
Phone (502) 665-8377

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

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

Organizations & group practices 7

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1790740199",
    "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": "825 BARRET AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041743",
            "telephone_number": "502-540-7200",
            "fax_number": "502-540-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAROMAN",
        "first_name": "PRISCILLA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01046413A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "37986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- NORTON",
            "identifier": "000023033C",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVAN-N ALBANY",
            "identifier": "2447469000",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSOPRT ADVANTAGE / NMCA BARRET",
            "identifier": "3315960000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT / NCMA NEW ALBANY",
            "identifier": "50006201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA- NORTON",
            "identifier": "1204806",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100009560",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT- BARRET AVENORT",
            "identifier": "50016180",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00410683",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1361920",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200153800",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO- NORTON",
            "identifier": "007048",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA- NORTON",
            "identifier": "1902282",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE / NCMA NEW ALBANY",
            "identifier": "2447469000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD WISE- NORTON",
            "identifier": "200153800",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- NORTON",
            "identifier": "000000300133",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00021727",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pvillaroman5141@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "825 Barret Ave",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402041743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "825 Barret Ave",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402041743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.