Active NPI
Mariano Camporrotondo, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 55165
- Practice address
- 3900 Kresge Way Ste 42
Louisville, KY 40207-4681 - Phone
- (502) 899-3858
- NPI assigned
- May 25, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 55165 | KY | Primary |
Addresses
Primary practice location
3900 Kresge Way Ste 42
Louisville, KY 40207-4681
Mailing address
3900 Kresge Way Ste 42
Louisville, KY 40207-4681
Phone (502) 899-3858
Other practice location 1
136 E Cottom Ave
New Albany, IN 47150-4604
Phone (502) 899-3858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
136 E Cottom Ave
New Albany, IN 47150-4604
Phone (502) 899-3858
3900 Kresge Way
Louisville, KY 40207-4681
3950 Kresge Way
Louisville, KY 40207-4637
4002 Kresge Way
Suite 110
Louisville, KY 40207-4605
Phone (502) 928-8700
Hospital & facility affiliations
- Baptist Home Health Care of Indiana
- Baptist Health Home Care Ky, LLC Dba Baptist Home Health Care
- Baptist Health Louisville
- Baptist Health Floyd
- Baptist Health Hardin
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55165 | KY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Single Specialty | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Single Specialty | Current | Accepting new patients |
| Baptist Healthcare System Inc. | Past | Accepting new patients |
Locations
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
136 E Cottom Ave
New Albany, IN 47150
Phone (502) 583-8383
3900 Kresge Way
Ste 42
Louisville, KY 40207
Phone (502) 894-9499
5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1508269200
IN, Single Specialty
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
Single Specialty
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
dba Baptist Health Louisville
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Home Care
- Home Health Agency
- Paducah, KY
- NPI 1780498030
-
dba Baptist Health Hardin
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
dba Baptist Health Louisville
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
dba Baptist Health Floyd
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
-
dba Baptist Health Home Care Floyd
- Home Health Agency
- New Albany, IN
- NPI 1972544955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1912572595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 KRESGE WAY STE 42",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074681",
"telephone_number": "502-899-3858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 KRESGE WAY STE 42",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074681",
"telephone_number": "502-899-3858"
}
],
"practiceLocations": [
{
"address_1": "136 E Cottom Ave",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "IN",
"postal_code": "471504604",
"country_code": "US",
"telephone_number": "502-899-3858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPORROTONDO",
"first_name": "MARIANO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "KY",
"license": "55165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.