Suzanne Erinn Kingery, M.D.

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

44436 Issued in KY

Practice address

601 S Floyd St
Ste 403
Louisville, KY 40202-1837

Phone

(502) 588-3400

Fax

(502) 588-3401

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Suzanne Erinn Moore Former name

Electronic endpoints 2

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

Pediatric MedicineAlso: Endocrinology

Education

Medical College of Georgia School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Norton Childrens Medical Group LLCGroup PAC ID 3779917596, 234 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

97.07

Promoting interoperability

100

Improvement activities

40

Cost

76.49

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Norton Children'S Medical Group, LLC

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1457999096
  Medicare reassignment Care Compare group NPD
• University of Louisville Physicians, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1366722316

  Pediatrics

  Medicare reassignment NPD
• Norton Children'S Medical Group, LLC

  • Pediatric Radiology Physician
  • Louisville, KY
  • NPI 1659913812
  NPD
• Norton Children'S Medical Group, LLC

  • Pediatric Nephrology Physician
  • Louisville, KY
  • NPI 1922649573

  Pediatrics

  NPD
• University of Louisville Physicians

  • Pediatric Nephrology Physician
  • Louisville, KY
  • NPI 1255697983
  NPD
• University of Louisville Physicians, Inc.

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1316294127
  NPD
• Norton Childrens Medical Group, LLC

  • Pediatrics Physician
  • Louisville, KY
  • NPI 1326695255
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1790823151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-3400",
            "fax_number": "502-588-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S FLOYD ST",
            "address_2": "STE 403",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021837",
            "telephone_number": "502-588-3400",
            "fax_number": "502-588-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGERY",
        "first_name": "SUZANNE",
        "middle_name": "ERINN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35091161",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "44436",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "KY",
            "license": "44436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201029350",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100171460",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skingery45633@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "601 S Floyd St",
            "address_2": "Ste 403",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "601 S Floyd St",
            "address_2": "Ste 403",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "MOORE",
            "middle_name": "ERINN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Bradley King, M.D.
• Kingdom Counseling, LLC
• Christin Kingery, LCSW
• Francesca Pribble Kingery, MD
• Justin Roy Kingery, MD/PHD
• Kings Transitional Living
• Daria Kingsley
• Jamie Horvath Kingsley, RDN
• Weston Trey Kinison
• Dennis F Kinlaw Jr., MD

• Pediatric Endocrinology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatric Endocrinology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.