NPIMap

Individual provider Active NPI

Vincent S Degeare, MD

  • Interventional Cardiology Physician
  • Louisville, KY
National Provider Identifier
1902835093
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
37390 Issued in KY
Practice address
6420 Dutchmans Pkwy
Suite 200
Louisville, KY 40205-3372
Phone
(502) 891-8300
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 37390 KY
Interventional Cardiology Physician 207RI0011X 37390 KY Primary

Addresses

Primary practice location

6420 Dutchmans Pkwy
Suite 200
Louisville, KY 40205-3372

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 9

IdentifierTypeStateIssuer
200409360FMedicaidIN
64064769MedicaidKY
000000290251OtherKYANTHEM PIN
000000693043OtherKSANTHEM - NCVA
50001245OtherKYPASSPORT PIN
P00893038OtherKYRAILROAD MEDICARE - NCVA
000057080DOtherKYHUMANA - NCVA
200409360AMedicaidIN
2442856000OtherKYPASSPORT ADVANTAGE PIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address vdegeare12573@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20090721000217 KY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2163435512 Reassigns benefits to 1 organization
I20141030001035 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2163435512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Chicago, Pritzker School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-7225

1220 Missouri Ave
Jeffersonville, IN 47130-3725
Phone (812) 283-2581

1373 E State Rd
Madison, IN 47250-7328

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

210 E Gray St
Louisville, KY 40202-3906

2410 Ring Rd
Suite 500
Elizabethtown, KY 42701-7991
Phone (502) 891-8300

4001 Dutchmans LN
Louisville, KY 40207-4714
Phone (502) 893-1270

4420 Dixie Hwy
Suite 118
Louisville, KY 40216-2991
Phone (502) 447-3448

4915 Norton Healthcare Blvd
Louisville, KY 40241-2861

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8125

630 N Broadway St
Madison, IN 47250-7328
Phone (812) 801-0995

6420 Dutchmans Pkwy
Suite 200
Louisville, KY 40205-3373
Phone (502) 891-8300

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

850 S 28TH St
Louisville, KY 40211-1223

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting22
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37390KYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2011 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Cardiovascular Disease CurrentSince Sep 20, 2014 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2011 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients
Norton Hospitals Inc Cardiovascular Disease Past Accepting new patients

Locations

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

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

279 Kings Daughters Dr
Ste 204
Frankfort, KY 40601
Phone (502) 875-9885

912 Wallace Ave
Ste 104
Leitchfield, KY 42754
Phone (270) 287-0001

10216 Taylorsville Rd
Ste 400
Louisville, KY 40299
Phone (502) 267-5456

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

4420 Dixie Hwy
Ste 112
Louisville, KY 40216
Phone (502) 365-2655

6420 Dutchmans Pkwy
Ste 200
Louisville, KY 40205
Phone (502) 891-8333

2355 Poplar Level Rd
Ste 200
Louisville, KY 40217
Phone (502) 365-2655

3 Audubon Plaza Dr
Ste 350
Louisville, KY 40217
Phone (502) 635-2121

170 Dr Arla Way
Louisville, KY 40229
Phone (502) 955-8480

2400 Eastpoint Pkwy
Ste 560
Louisville, KY 40223
Phone (502) 210-6610

153 Dowell Rd
Russell Springs, KY 42642
Phone (270) 866-4141

Interoperability endpoints

  • Direct secure messaging: vdegeare12573@direct.nortonhealthcare.org

Organizations & group practices 7

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 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1902835093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY",
            "address_2": "SUITE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053372",
            "telephone_number": "502-891-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGEARE",
        "first_name": "VINCENT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "37390",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "37390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200409360F",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64064769",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000290251",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - NCVA",
            "identifier": "000000693043",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT PIN",
            "identifier": "50001245",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - NCVA",
            "identifier": "P00893038",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA - NCVA",
            "identifier": "000057080D",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200409360A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE PIN",
            "identifier": "2442856000",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vdegeare12573@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "6420 Dutchmans Pkwy",
            "address_2": "Suite 200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "6420 Dutchmans Pkwy",
            "address_2": "Suite 200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402053372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.