Individual provider Active NPI

Marco Cornelis Louisse, M.D.

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1982611257
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42180 Issued in KY
Practice address
7926 Preston Hwy Ste 106
Louisville, KY 40219-3848
Phone
(502) 964-4357
Fax
(502) 966-5948
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00041159 WA
Family Medicine Physician 207Q00000X 42180 KY Primary

Addresses

Primary practice location

7926 Preston Hwy Ste 106
Louisville, KY 40219-3848

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 7

IdentifierTypeStateIssuer
P00378656OtherWARAILROAD MEDICARE
7100270690MedicaidKY
000000590540OtherKYANTHEM
8313868MedicaidWA
P00737020OtherINRAILROAD MEDICARE
P00817257OtherKYRAILROAD MEDICARE
201000050MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mlouisse1679@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090102000095 KY Practitioner - Family Practice 9931294527 Reassigns benefits to 1 organization
I20101027000199 IN Practitioner - Family Practice 9931294527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Chicago, Pritzker School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

Practice addresses (Care Compare)

10798 Dixie Hwy
Louisville, KY 40272-4302
Phone (502) 588-9490

1230 Market St
La Grange, KY 40031-7986

12615 Taylorsville Rd
Louisville, KY 40299-4452

12903 Shelbyville Rd
Louisville, KY 40243-1538
Phone (502) 245-4301

12955 Shelbyville Rd
Suite 2
Louisville, KY 40243-1538
Phone (502) 894-9494

1321 Herr LN
Suite 195
Louisville, KY 40222-4385
Phone (502) 423-7911

1373 E State Rd
Madison, IN 47250-7328

150 Franfort Rd
Shelbyville, KY 40065-7401

2051 Clevidence Blvd
Clarksville, IN 47129-2278

2450 Bardstown Rd
Louisville, KY 40205-2123
Phone (502) 459-3991

2470 Bardstown Rd
Louisville, KY 40205-2123

300 High Point CT
Mount Washington, KY 40047-6560

3118 E 10TH St
Jeffersonville, IN 47130-5904

3118 E 10TH St a
Norton Leatherman Spine Center
Jeffersonville, IN 47130-5904
Phone (502) 584-7525

4420 Dixie Hwy
Louisville, KY 40216-2986

630 N Broadway St
Madison, IN 47250-7328
Phone (812) 801-0995

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

901 Dupont Rd
Louisville, KY 40207-4644

9340 Cedar Ctr Way
Louisville, KY 40291-4522
Phone (502) 239-8431

9342 Cedar Ctr Way
Louisville, KY 40291-4522
Phone (502) 239-3228

9451 Westport Rd
Suite C
Louisville, KY 40241-2294
Phone (502) 855-7325

9880 Angies Way
Suite 160
Louisville, KY 40241-2851
Phone (502) 423-9595

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42180KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jul 26, 2010 Accepting new patients
Community Medical Associates, Inc. Family Medicine CurrentSince Jul 26, 2010 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Ste A
Clarksville, IN 47129
Phone (812) 280-1720

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

3118 E 10th St
Ste C
Jeffersonville, IN 47130
Phone (812) 280-9355

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

3605 Northgate Ct
Ste 110
New Albany, IN 47150
Phone (812) 949-5749

157 Towne Dr
Ste 104
Elizabethtown, KY 42701
Phone (270) 769-2273

202 Limestone St S
Ste 1C
Frankfort, KY 40601
Phone (502) 665-8377

1230 Market St
Ste B
La Grange, KY 40031
Phone (502) 225-6920

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

3101 Poplar Level Rd
Ste 102
Louisville, KY 40213
Phone (502) 636-6012

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

9880 Angies Way
Ste 160
Louisville, KY 40241
Phone (502) 394-6333

9340 Cedar Center Way
Louisville, KY 40291
Phone (502) 239-8431

12903 Shelbyville Rd
Louisville, KY 40243
Phone (502) 244-5827

2470 Bardstown Rd
#B
Louisville, KY 40205
Phone (502) 459-3991

901 DuPont Rd
Ste 100
Louisville, KY 40207
Phone (502) 559-1855

12615 Taylorsville Rd
Ste B
Louisville, KY 40299
Phone (502) 261-1565

1321 Herr Ln
Ste 195
Louisville, KY 40222
Phone (502) 423-7911

150 Frankfort Rd
Ste 104A
Shelbyville, KY 40065
Phone (502) 844-2890

438 Adam Shepherd Pkwy
Ste 2
Shepherdsville, KY 40165
Phone (502) 957-6434

Interoperability endpoints

  • Direct secure messaging: mlouisse1679@direct.nortonhealthcare.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1982611257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7926 PRESTON HWY STE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193848",
            "telephone_number": "502-964-4357",
            "fax_number": "502-966-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUISSE",
        "first_name": "MARCO",
        "middle_name": "CORNELIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00041159",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "42180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00378656",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100270690",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000590540",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8313868",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00737020",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00817257",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201000050",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlouisse1679@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "7926 Preston Hwy Ste 106",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402193848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "7926 Preston Hwy Ste 106",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402193848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.