Dylan Joseph Nichols, MD

Key facts

NPI

1962963827

Entity type

Individual (NPI type 1)

Primary specialty

Emergency Medicine Physician 207P00000X

License

56834 (KY)

Practice address

200 Abraham Flexner Way
Louisville, KY 40202-2877

Phone

(502) 587-4421

NPI assigned

Mar 25, 2019

Sex

Male

Sole proprietor

Yes

Organizations & group practices 5

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.

• Louisville Emergency Medicine Associates PSC Emergency Medicine Physician · Louisville, KY · NPI 1487604641
  Medicare reassignment Care Compare group NPD EMERGENCY MEDICINE · KY
• Louisville Observational Medicine Associates PSC Emergency Medicine Physician · Louisville, KY · NPI 1356018519
  Medicare reassignment Care Compare group NPD EMERGENCY MEDICINE · KY
• University of Louisville Physicians, Inc. Internal Medicine Physician · Louisville, KY · NPI 1366722316
  Medicare reassignment NPD KY
• University of Louisville Physicians, Inc. Diagnostic Radiology Physician · Louisville, KY · NPI 1316294127
  NPD
• University of Louisville Physicians, Inc. Pediatric Surgery Physician · Louisville, KY · NPI 1740546464
  NPD

Hospital & facility affiliations 1

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

• Baptist Healthcare System Inc. General Acute Care Hospital · Louisville, KY · NPI 1265539498
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Emergency Medicine

Education

University of Alabama School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisville Emergency Medicine Associates PSC (11 clinicians)
Louisville Observational Medicine Associates PSC (32 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score

88.66 of 100 (group)

Quality

75.39

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

78.96 of 100 (group)

Quality

56.12

Promoting interoperability

100

Improvement activities

40

Cost

73.73

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 1, 2022.

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1962963827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ABRAHAM FLEXNER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022877",
            "telephone_number": "502-587-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "DYLAN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-25",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "56834",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "TP873",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

• Julia Karen Nicholas
• Ryan Patrick Nicholas, OTR
• Alicia L Nichols, PT, DPT
• Amanda Lee Nichols, LMT
• Breanne Nichols, RBT
• Ericka Nichols
• Katherine Marie Nichols, M.D.
• Kimberly Nichols
• Meredith Nichols
• Michelle T. Nichols, DMD

All providers in Louisville, KY · Emergency Medicine Physician in Kentucky