Organization Active NPI

Kentuckiana Center for Better Bone & Joint Health PLLC

Doing business as Kentuckiana Rheumatology

  • Rheumatology Physician
  • Louisville, KY
National Provider Identifier
1922081546
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
KENTUCKIANA CENTER FOR BETTER BONE & JOINT HEALTH PLLC
Doing business as
Kentuckiana Rheumatology
Practice address
100 East Liberty Street
Suite 700
Louisville, KY 40202-1426
Phone
(502) 583-5836
Fax
(502) 583-2266
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Donald Moore
Title
Practice Manager
Phone
(502) 583-5836

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X Primary
Non-Pharmacy Dispensing Site 332900000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

100 East Liberty Street
Suite 700
Louisville, KY 40202-1426

Mailing address

100 E Liberty St Ste 700
Louisville, KY 40202-1439
Phone (502) 583-5836

Other identifiers 4

IdentifierTypeStateIssuer
200322420MedicaidIN
65901308MedicaidKY
78902145MedicaidKY
CG5039OtherKYRAILROAD MEDICARE PIN

Other names 1

  • Kentuckiana Rheumatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040520000107 KY Part B Supplier - Clinic/Group Practice 8224029137 Receives reassigned benefits from 5 practitioners
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

6420 Dutchmans Pkwy
Ste 175
Louisville, KY 40205
Phone (502) 259-5284

332 W Broadway
Ste 217
Louisville, KY 40202
Phone (502) 589-2063

100 E Liberty St
Ste 700
Louisville, KY 40202
Phone (502) 583-5836

100 E Liberty St
Fl 7
Louisville, KY 40202
Phone (502) 583-5836

100 E Liberty St
#7
Louisville, KY 40202

6420 Dutchmans Pkwy
Ste 180
Louisville, KY 40205
Phone (502) 259-5284

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1922081546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST STE 700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021439",
            "telephone_number": "502-583-5836",
            "fax_number": "502-583-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAST LIBERTY STREET",
            "address_2": "SUITE 700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021426",
            "telephone_number": "502-583-5836",
            "fax_number": "502-583-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKIANA CENTER FOR BETTER BONE & JOINT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "502-583-5836"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200322420",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65901308",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78902145",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CG5039",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentuckiana Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.