Active NPI
Middletown Medical Group
- Internal Medicine Physician
- Louisville, KY
National Provider Identifier
1861521833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MIDDLETOWN MEDICAL GROUP
- Practice address
- 12010 Shelbyville Rd
Suite 300
Louisville, KY 40243-1054 - Phone
- (502) 244-9355
- Fax
- (502) 244-9577
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott A. Young, M.D.
- Title
- President
- Phone
- (502) 244-9355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
12010 Shelbyville Rd
Suite 300
Louisville, KY 40243-1054
Mailing address
PO Box 436256
Louisville, KY 40253-6256
Phone (502) 244-9355
Other names 1
- Middletown Internal Medicine
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0955278 | Middletown Internal Medicine | Certificate of waiver | Dec 21, 2026 |
| 18D1041969 | Baptist Health Medical Group Middletown | Certificate of waiver | Jun 15, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206403200000",
"number": "1861521833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 436256",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402536256",
"telephone_number": "502-244-9355",
"fax_number": "502-244-9577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12010 SHELBYVILLE RD",
"address_2": "SUITE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402431054",
"telephone_number": "502-244-9355",
"fax_number": "502-244-9577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDDLETOWN MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2008-03-25",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "502-244-9355",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Middletown Internal Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.