NPIMap

Individual provider Active NPI

Nathan David Whitmore, M.D.

  • Internal Medicine Physician
  • Mt Washington, KY
National Provider Identifier
1841463999
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45443 Issued in KY
Practice address
300 High Point CT
Mt Washington, KY 40047-6560
Phone
(502) 955-6129
Fax
(502) 955-8161
NPI assigned
Apr 9, 2008
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 45443 KY
Internal Medicine Physician 207R00000X 45443 KY Primary

Addresses

Primary practice location

300 High Point CT
Mt Washington, KY 40047-6560

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
K059800OtherKYMEDICARE- NORTON MEDICAL ASSOCIATES
7100134070MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nwhitmore15539@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
I20120921000755 KY Practitioner - Family Practice 5496903197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

12903 Shelbyville Rd
Louisville, KY 40243-1538
Phone (502) 245-4301

12955 Shelbyville Rd
Suite 2
Louisville, KY 40243-1538
Phone (502) 894-9494

300 High Point CT
Mount Washington, KY 40047-6560

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

Hospital & facility affiliations

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
45443KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Sep 1, 2012 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Sep 1, 2012 Accepting new patients

Locations

12955 Shelbyville Rd
#2
Louisville, KY 40243
Phone (502) 245-4301

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

300 High Point Ct
Mt Washington, KY 40047
Phone (502) 447-4595

Interoperability endpoints

  • Direct secure messaging: nwhitmore15539@direct.nortonhealthcare.org

Organizations & group practices 3

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.

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1841463999",
    "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": "300 HIGH POINT CT",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400476560",
            "telephone_number": "502-955-6129",
            "fax_number": "502-955-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "NATHAN",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "45443",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "45443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- NORTON MEDICAL ASSOCIATES",
            "identifier": "K059800",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100134070",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nwhitmore15539@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "300 High Point Ct",
            "city": "MT Washington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400476560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "300 High Point Ct",
            "city": "MT Washington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400476560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mt Washington, KY

Sources for this page

Verify at the official NPI Registry.