Individual provider Active NPI

George M Kudmani, MD

  • Gynecology Physician
  • Louisville, KY
National Provider Identifier
1902906092
Registry record updated Apr 25, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Apr 19, 2018.
  • Section 1128b(4) exclusion effective Jul 20, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
KY21041 Issued in KY
Practice address
9822 3Rd Street Rd
Suite 306
Louisville, KY 40272-2847
Phone
(502) 933-0623
Fax
(502) 933-8388
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X KY21041 KY Primary

Addresses

Primary practice location

9822 3Rd Street Rd
Suite 306
Louisville, KY 40272-2847

Mailing address

9822 3Rd Street Rd
Suite 306
Louisville, KY 40272-2847
Phone (502) 933-0623

Other identifiers 1

IdentifierTypeStateIssuer
64210412MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
KY21041KYMDGynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1902906092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9822 3RD STREET RD",
            "address_2": "SUITE 306",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722847",
            "telephone_number": "502-933-0623",
            "fax_number": "502-933-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9822 3RD STREET RD",
            "address_2": "SUITE 306",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722847",
            "telephone_number": "502-933-0623",
            "fax_number": "502-933-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDMANI",
        "first_name": "GEORGE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "KY",
            "license": "KY21041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64210412",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.