Individual provider Active NPI

Suraj K Gathani, M.D.

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1902172067
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
48219 Issued in KY
Practice address
12010 Shelbyville Rd
Suite 500
Louisville, KY 40243-1054
Phone
(502) 238-2800
Fax
(502) 238-2805
NPI assigned
Mar 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 48219 KY Primary

Addresses

Primary practice location

12010 Shelbyville Rd
Suite 500
Louisville, KY 40243-1054

Mailing address

PO Box 950248
Louisville, KY 40295-0248
Phone (502) 489-5730

Other identifiers 1

IdentifierTypeStateIssuer
207Q00000XOtherKYTAXONOMY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgathani13643@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150916000824 KY Practitioner - Family Practice 1153564240 Reassigns benefits to 1 organization
I20161019000929 IN Practitioner - Family Practice 1153564240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

12010 Shelbyville Rd
Suite 500
Louisville, KY 40243-1086
Phone (502) 238-2800

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Louisville, KY, CCN 187090
  • Baptist Health Home Care Ky, LLC Dba Baptist Home Health Care Home health agency, Louisville, KY, CCN 187091
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Nov 1, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 10, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 10, 2015 Accepting new patients
Ssa Ventures, LLC CurrentSince Sep 20, 2023 Accepting new patients
FMMG LLC Family Medicine Past Accepting new patients

Locations

800 Highlander Point Dr
Ste 204B
Floyds Knobs, IN 47119

1714 Charlestown New Albany Rd
Ste 100
Jeffersonville, IN 47130
Phone (812) 271-4240

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

311 E Clifty Dr
Madison, IN 47250
Phone (502) 593-0083

1006 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-0028

12010 Shelbyville Rd
Ste 500
Louisville, KY 40243
Phone (502) 238-2800

2400 Eastpoint Pkwy
Ste 100
Louisville, KY 40223
Phone (502) 210-4700

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

2700 Stanley Gault Pkwy
Ste 129
Louisville, KY 40223
Phone (502) 253-4900

Organizations & group practices 5

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 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": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1902172067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950248",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950248",
            "telephone_number": "502-489-5730",
            "fax_number": "502-489-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 SHELBYVILLE RD",
            "address_2": "SUITE 500",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431054",
            "telephone_number": "502-238-2800",
            "fax_number": "502-238-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATHANI",
        "first_name": "SURAJ",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "48219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207Q00000X",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgathani13643@bhkydirect.com",
            "affiliation": "N",
            "address_1": "12010 Shelbyville Rd",
            "address_2": "Suite 500",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402431054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.