Active NPI
Michelle F Cheatham, PA-C
- Physician Assistant
- St Matthews, KY
National Provider Identifier
1932932936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3516
- Practice address
- 120 Executive Park
St Matthews, KY 40207-4201 - Phone
- (502) 855-7200
- Fax
- (502) 855-7201
- NPI assigned
- Aug 23, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA3516 | KY | Primary |
Addresses
Primary practice location
120 Executive Park
St Matthews, KY 40207-4201
Mailing address
PO Box 21890
Belfast, ME 04915-4115
Phone (502) 907-0356
Other practice location 1
4420 Dixie Hwy Ste 107
Louisville, KY 40216-2986
Phone (502) 855-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7101010100 | Medicaid | KY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michelle.cheatham.1@16521.direct.athenahealth.com | Health Information Exchange (HIE) | Commonwealth Pain Associates, PLLC |
| Direct Messaging Address | michelle.cheatham.1@16521.direct.athenahealth.com | Health Information Exchange (HIE) | Commonwealth Pain Associates, PLLC |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200
223 Executive Park
Loisville, KY 40207-4202
225 Executive Park
Louisville, KY 40207-4202
Phone (502) 855-7200
Hospital & facility affiliations
- Norton Hospitals, Inc
- Baptist Health Louisville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Pain Associates, PLLC | Physician Assistant | Current | Accepting new patients |
| Commonwealth Pain Associates PLLC | Current | Accepting new patients |
Locations
4420 Dixie Hwy
Ste 107
Louisville, KY 40216
120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925
Organizations & group practices 2
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.
-
- Interventional Pain Medicine Physician
- Louisville, KY
- NPI 1306280177
Physician Assistant
-
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1114753720
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1831195908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1932932936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21890",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154115",
"telephone_number": "502-907-0356",
"fax_number": "502-919-9780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 EXECUTIVE PARK",
"city": "ST MATTHEWS",
"state": "KY",
"postal_code": "402074201",
"telephone_number": "502-855-7200",
"fax_number": "502-855-7201"
}
],
"practiceLocations": [
{
"address_1": "4420 Dixie Hwy Ste 107",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402162986",
"country_code": "US",
"telephone_number": "502-855-7200",
"fax_number": "502-855-7201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEATHAM",
"first_name": "MICHELLE",
"middle_name": "F",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-23",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA3516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7101010100",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle.cheatham.1@16521.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "Commonwealth Pain Associates, PLLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "120 Executive Park",
"city": "St Matthews",
"state": "KY",
"country_code": "US",
"postal_code": "402074201",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle.cheatham.1@16521.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "Commonwealth Pain Associates, PLLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "4420 Dixie Hwy Ste 107",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402162986",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in St Matthews, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.