NPIMap

Individual provider Active NPI

Sarah Greer Mizuguchi, M.D.

  • Diagnostic Radiology Physician
  • Louisville, KY
National Provider Identifier
1902937584
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R0495 Issued in KY
Practice address
4004 Dupont Cir Ste 230
Louisville, KY 40207
Phone
(502) 893-1333
Fax
(502) 899-9576
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R0495 KY Primary

Addresses

Primary practice location

4004 Dupont Cir Ste 230
Louisville, KY 40207

Mailing address

2700 Stanley Gault Pkwy Ste 129
Louisville, KY 40223-5176
Phone (502) 253-4900

Other practice location 1

530 S Jackson St
C07
Louisville, KY 40202-1675
Phone (502) 581-1500

Other identifiers 1

IdentifierTypeStateIssuer
200914440MedicaidKY

Other names 1

  • Sarah Elizabeth Greer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smizuguchi25116@bhkydirect.com

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
I20081027000549 KY Practitioner - Diagnostic Radiology 0840358453 Reassigns benefits to 3 organizations
I20260617000632 IN Practitioner - Diagnostic Radiology 0840358453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 852-8266

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
R0495KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Aug 6, 2019 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 6, 2022 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2012 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Sep 6, 2022 Accepting new patients
University of Louisville Physicians, Inc. Diagnostic Radiology CurrentSince Nov 1, 2012 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 6, 2019 Accepting new patients
Mercy Health Physicians Kentucky LLC Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

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

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

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

530 S Jackson St
Ste C7
Louisville, KY 40202
Phone (502) 562-3000

4004 DuPont Cir
Ste 230
Louisville, KY 40207
Phone (502) 893-1333

530 S Jackson St
#C7
Louisville, KY 40202
Phone (502) 582-5875

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

Organizations & group practices 8

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1902937584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 STANLEY GAULT PKWY STE 129",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235176",
            "telephone_number": "502-253-4900",
            "fax_number": "502-489-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 DUPONT CIR STE 230",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-893-1333",
            "fax_number": "502-899-9576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 S Jackson St",
            "address_2": "C07",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021675",
            "country_code": "US",
            "telephone_number": "502-581-1500",
            "fax_number": "502-540-4959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIZUGUCHI",
        "first_name": "SARAH",
        "middle_name": "GREER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "R0495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200914440",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smizuguchi25116@bhkydirect.com",
            "affiliation": "N",
            "address_1": "4004 DuPont Cir Ste 230",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "GREER",
            "middle_name": "ELIZABETH",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.