Individual provider Active NPI

Roy G. Bowling, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Louisville, KY
National Provider Identifier
1871525865
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
20437 Issued in KY
Practice address
201 Abraham Flexner Way
Suite 1200
Louisville, KY 40202-3841
Phone
(502) 583-8383
NPI assigned
Jul 7, 2006
Last updated
Jun 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01046063 IN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 20437 KY Primary

Addresses

Primary practice location

201 Abraham Flexner Way
Suite 1200
Louisville, KY 40202-3841

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0329

Other identifiers 2

IdentifierTypeStateIssuer
100389020MedicaidIN
64204373MedicaidKY

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
I20090123000158 KY Practitioner - Thoracic Surgery 4284609561 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01046063INMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Surgery Current Accepting new patients
University of Louisville Physicians, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 30, 2015 Accepting new patients
Thoracic & Vascular Associates, P.S.C. PastSince Jul 1, 2006 Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

1919 State St
Ste 444
New Albany, IN 47150
Phone (502) 368-9590

213 Hunter Station Rd
Sellersburg, IN 47172
Phone (812) 248-2560

201 Abraham Flexner Way
#10
Louisville, KY 40202

201 Abraham Flexner Way
Ste 1004
Louisville, KY 40202
Phone (502) 583-9565

201 Abraham Flexner Way
Ste 1200
Louisville, KY 40202
Phone (502) 583-8383

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1871525865",
    "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": "502-588-0329",
            "fax_number": "502-588-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ABRAHAM FLEXNER WAY",
            "address_2": "SUITE 1200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023841",
            "telephone_number": "502-583-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLING",
        "first_name": "ROY",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01046063",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KY",
            "license": "20437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100389020",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64204373",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.