Richard D Allen, MD

Individual provider Active NPI Cardiovascular Disease Physician · Louisville, KY

NPI 1982631487 · NPPES record last updated Jul 12, 2016

Key facts

NPI
1982631487
Entity type
Individual (NPI type 1)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
License
14755 (KY)
Practice address
6420 Dutchmans Pkwy
Suite 200
Louisville, KY 40205-3372
Phone
(502) 891-8300
Fax
(502) 891-8338
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals Inc Cardiovascular Disease Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 14755 KY Yes

Addresses

Primary practice location

6420 Dutchmans Pkwy
Suite 200
Louisville, KY 40205-3372

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
50013909OtherKYRAILROAD MEDICARE- CTS
100388670AMedicaidIN
64147556MedicaidKY
100388670FMedicaidIN
P00992175OtherKYRAILROAD MEDICARE- NCVA
100388670BMedicaidIN
1056105OtherKYPASSPORT PIN
000000044923OtherKYANTHEM PIN
060018526MedicaidKY
100388670CMedicaidIN
2433831000OtherKYPASSPORT ADV PIN
008962OtherKYSIHO- CTS

Other providers in Louisville, KY

All providers in Louisville, KY · Cardiovascular Disease Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.