Individual provider Active NPI

Ronald L Spears, M.D.

  • Psychiatry Physician
  • Louisville, KY
National Provider Identifier
1932273174
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25916 Issued in KY
Practice address
8521 Lagrange Rd
Louisville, KY 40242-3800
Phone
(502) 426-5648
Fax
(502) 426-5012
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25916 KY Primary

Addresses

Primary practice location

8521 Lagrange Rd
Louisville, KY 40242-3800

Mailing address

8521 Lagrange Rd
Louisville, KY 40242-3800
Phone (502) 426-5648

Other identifiers 1

IdentifierTypeStateIssuer
64259161MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120321000619 KY Practitioner - Psychiatry 6305006776 Reassigns benefits to 1 organization
Practice locations: Louisville, KY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Louisville School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kmi Acquisition LLCGroup PAC ID 8628155892, 3 clinicians

Practice addresses (Care Compare)

8521 La Grange Rd
Louisville, KY 40242-3800
Phone (502) 426-6380

8521 Lagrange Rd
Attn Cfo
Louisville, KY 40242-3800

Hospital & facility affiliations

  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kmi Acquisition LLC Psychiatry CurrentSince Jan 1, 2022 Accepting new patients
Kmi Acquisition LLC Psychiatry CurrentSince Jan 1, 2022 Accepting new patients
TBD Acquisition LLC Past Accepting new patients

Locations

1405 Browns Ln
Louisville, KY 40207
Phone (502) 896-0495

8521 La Grange Rd
Louisville, KY 40242
Phone (502) 426-5648

Organizations & group practices 3

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1932273174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8521 LAGRANGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402423800",
            "telephone_number": "502-426-5648",
            "fax_number": "502-426-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8521 LAGRANGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402423800",
            "telephone_number": "502-426-5648",
            "fax_number": "502-426-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "RONALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "25916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64259161",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.