NPIMap

Individual provider Active NPI

Jonathan Lewis Witten, M.D.

  • Urology Physician
  • Louisville, KY
National Provider Identifier
1851617732
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
53076 Issued in KY
Practice address
3920 S Dupont SQ Ste C
Louisville, KY 40207-4615
Phone
(812) 282-3899
NPI assigned
Apr 16, 2010
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 01082597A IN
Urology Physician 208800000X MD181923 OR
Urology Physician 208800000X 53076 KY Primary

Addresses

Primary practice location

3920 S Dupont SQ Ste C
Louisville, KY 40207-4615

Mailing address

6034 SW 25TH Ave
Portland, OR 97239
Phone (502) 758-0670

Other practice location 1

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8211

Other identifiers 3

IdentifierTypeStateIssuer
122620025OtherININ MEDICARE
300028277MedicaidIN
7100626510MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190727000301 IN Practitioner - Urology 3678728342 Reassigns benefits to 3 organizations
I20191030003145 KY Practitioner - Urology 3678728342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Louisville School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Urology PSCGroup PAC ID 3779572888, 56 clinicians

Practice addresses (Care Compare)

101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899

200 S Walnut St
Schneck Medical Center
Seymour, IN 47274-2312
Phone (812) 522-2349

2400 Eastpoint Pkwy
Suite 560
Louisville, KY 40223-4154
Phone (502) 897-7172

3 Audubon Plaza Dr
L10
Louisville, KY 40217-1362
Phone (502) 584-0651

300 High Point CT
Mount Washington, KY 40047-6560
Phone (502) 955-6129

3920 S Dupont SQ C
Louisville, KY 40207-4615
Phone (812) 282-3899

411 W Tipton St
Seymour, IN 47274-2363

5120 Dixie Hwy
Suite 105
Louisville, KY 40216-1775
Phone (812) 282-3899

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01082597AINMDUrology Physician
53076KYMDUrology Physician
MD181923ORMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton - Kings Daughters Health Inc Urology CurrentSince Jan 1, 2020 Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince Jan 1, 2020 Accepting new patients
Jackson County Schneck Memorial Hospital CurrentSince Jan 1, 2020 Accepting new patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients
Jackson County Schneck Memorial Hospital CurrentSince Jan 1, 2020 Accepting new patients
First Urology, PSC Urology CurrentSince Sep 1, 2019 Accepting new patients
First Urology, PSC Urology PastSince Sep 29, 2019 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients
First Urology, PSC Urology Past Accepting new patients

Locations

3431 Solutions Ctr
Chicago, IL 60677

313 Federal Dr NW
Ste 140
Corydon, IN 47112

101 Hospital Blvd
Jeffersonvlle, IN 47130
Phone (812) 206-8196

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

1023 New Moody Ln
Ste 202A
Lagrange, KY 40031
Phone (502) 222-3324

3920 S DuPont Sq
Ste C
Louisville, KY 40207
Phone (502) 721-0116

5120 Dixie Hwy
Ste 105
Louisville, KY 40216
Phone (502) 448-5509

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

Organizations & group practices 9

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1851617732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6034 SW 25TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "502-758-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 S DUPONT SQ STE C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074615",
            "telephone_number": "812-282-3899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTEN",
        "first_name": "JONATHAN",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-16",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01082597A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "MD181923",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "53076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN MEDICARE",
            "identifier": "122620025",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300028277",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100626510",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.