Individual provider Active NPI

Victor Kremser

  • Sports Medicine (Internal Medicine) Physician
  • Elizabethtown, KY
National Provider Identifier
1811516552
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
59629 Issued in KY
Practice address
2410 Ring Rd Ste 100
Elizabethtown, KY 42701-7960
Phone
(502) 855-7325
Fax
(502) 855-7326
NPI assigned
Apr 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 59629 KY
Sports Medicine (Internal Medicine) Physician 207RS0010X 59629 KY Primary

Addresses

Primary practice location

2410 Ring Rd Ste 100
Elizabethtown, KY 42701-7960

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 558-9490

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
I20240909001054 KY Practitioner - Sports MedicinePractitioner - Internal Medicine 4688114432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Internal Medicine
Education
University of Kentucky College of Medicine, 2020
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
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

12613 Taylorsville Rd
Suite 118
Louisville, KY 40299-5496
Phone (502) 267-1480

201 S Main St
Leitchfield, KY 42754-1425
Phone (270) 230-1729

2412 Ring Rd
Suite 100
Elizabethtown, KY 42701-5912
Phone (270) 769-2273

4031 N Dixie Hwy
Suite 104
Elizabethtown, KY 42701-7873
Phone (270) 982-4776

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59629KYMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Sep 2, 2024 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Sep 2, 2024 Accepting new patients
Community Medical Associates, Inc. Internal Medicine Past Accepting new patients

Locations

2412 Ring Rd
Ste 100
Elizabethtown, KY 42701
Phone (270) 737-2273

170 Dr Arla Way
Ste 101
Louisville, KY 40229
Phone (502) 888-1988

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

3 Audubon Plaza Dr
Ste 430
Louisville, KY 40217
Phone (502) 636-4900

9880 Angies Way
Ste 205
Louisville, KY 40241
Phone (502) 394-5678

Organizations & group practices 4

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 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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1811516552",
    "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": "502-558-9490",
            "fax_number": "502-272-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 RING RD STE 100",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017960",
            "telephone_number": "502-855-7325",
            "fax_number": "502-855-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMSER",
        "first_name": "VICTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "59629",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "KY",
            "license": "59629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.