Individual provider Active NPI

Jordan Patrick Hilgefort, MD

  • Sports Medicine (Family Medicine) Physician
  • Louisville, KY
National Provider Identifier
1881042505
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
TP140 Issued in KY
Practice address
215 Central Ave Ste 200
Louisville, KY 40208-1451
Phone
(502) 588-8700
NPI assigned
Jun 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4351044454 MI
Sports Medicine (Family Medicine) Physician 207QS0010X TP140 KY Primary

Addresses

Primary practice location

215 Central Ave Ste 200
Louisville, KY 40208-1451

Mailing address

PO Box 909
Louisville, KY 40201-0909

Other practice location 1

1801 Briarwood Cir Unit 10
Ann Arbor, MI 48108-3347
Phone (734) 998-0308

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
I20200701003632 KY Practitioner - Family Practice 1557658408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
JC Edwards School of Medicine, Marshall University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

215 Central Ave
Suite 200
Louisville, KY 40208-1451
Phone (502) 637-9313

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4351044454MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients
Major Hospital Past Accepting new patients
Uofl Health-Louisville Inc Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

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

215 Central Ave
Ste 205
Louisville, KY 40208
Phone (502) 588-8700

215 Central Ave
Ste 201
Louisville, KY 40208
Phone (502) 637-7678

215 Central Ave
Ste 100
Louisville, KY 40208
Phone (502) 588-8720

215 Central Ave
Louisville, KY 40208
Phone (502) 588-4521

215 Central Ave
Ste 200
Louisville, KY 40208
Phone (502) 637-9313

Interoperability endpoints

  • Direct secure messaging: jhilgefort13755@uoflhealth-dm.org

Organizations & group practices 6

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1881042505",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CENTRAL AVE STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081451",
            "telephone_number": "502-588-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Briarwood Cir Unit 10",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481083347",
            "country_code": "US",
            "telephone_number": "734-998-0308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILGEFORT",
        "first_name": "JORDAN",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4351044454",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KY",
            "license": "TP140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.