NPIMap

Individual provider Active NPI

Patrick M Jarvis, M.D.

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1992747794
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34908 Issued in KY
Practice address
200 E Chestnut St Ste 303
Louisville, KY 40202-1831
Phone
(502) 629-5552
Fax
(502) 629-3132
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34908 KY
Internal Medicine Physician 207R00000X 34908 KY Primary

Addresses

Primary practice location

200 E Chestnut St Ste 303
Louisville, KY 40202-1831

Mailing address

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

Other identifiers 23

IdentifierTypeStateIssuer
000000332130OtherKYANTHEM
3690745000OtherKYPASSPORT ADVANTAGE- NORTON INPATIENT SPECIALISTS
7694550OtherKYAETNA PPO
000000587287OtherKYANTHEM- NORTON INPATIENT SPECIALISTS
64057029MedicaidKY
000023034POtherKYHUMANA- NORTON INPATIENT SPECIALISTS
099258OtherKYSIHO- NORTON INPATIENT SPECIALISTS
200399030OtherKYHEALTHY INDIANA PLAN- NORTON INPATIENT SPECIALISTS
3426812OtherKYAETNA HMO ONLY
200399030OtherKYMD WISE- NORTON INPATIENT SPECIALISTS
50020903OtherKYPASSPORT- NORTON INPATIENT SPECIALISTS
200399030OtherKYANTHEM INDIANA MEDICAID- NORTON INPATIENT SPECIALISTS
2234475OtherKYUNITED HEALTH CARE
64057029OtherKYMEDICAID KY- NORTON INPATIENT SPECIALISTS
2179941OtherFIRST HEALTH
2446133000OtherKYPASSPORT ADVANTAGE
4130645OtherKYCIGNA- NORTON INPATIENT SPECIALISTS
4130645OtherCIGNA
200399030OtherINMEDICAID- NORTON INPATIENT SPECIALISTS
50004781OtherKYPASSPORT
P00655702OtherKYRAILROAD MEDICARE- NORTON INPATIENT SPECIALISTS
00533072OtherKYMEDICARE- NORTON INPATIENT SPECIALISTS
200399030MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503000883 KY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7315935038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Louisville School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-7225

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

4001 Dutchmans LN
Louisville, KY 40207-4714
Phone (502) 893-1270

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8125

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

Hospital & facility affiliations

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2008 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Oct 1, 2008 Accepting new patients
Frazier and Jarvis PLLC Internal Medicine Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Community Medical Associates, Inc. Internal Medicine Past Accepting new patients

Locations

200 E Chestnut St
Ste 303
Louisville, KY 40202
Phone (502) 629-5552

315 E Broadway
Ste 103
Louisville, KY 40202
Phone (502) 629-5469

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

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

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

210 E Gray St
Ste 700
Louisville, KY 40202
Phone (502) 629-5400

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1992747794",
    "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": "200 E CHESTNUT ST STE 303",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021831",
            "telephone_number": "502-629-5552",
            "fax_number": "502-629-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "PATRICK",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "34908",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "34908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000332130",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE- NORTON INPATIENT SPECIALISTS",
            "identifier": "3690745000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7694550",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- NORTON INPATIENT SPECIALISTS",
            "identifier": "000000587287",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64057029",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- NORTON INPATIENT SPECIALISTS",
            "identifier": "000023034P",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO- NORTON INPATIENT SPECIALISTS",
            "identifier": "099258",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY INDIANA PLAN- NORTON INPATIENT SPECIALISTS",
            "identifier": "200399030",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO ONLY",
            "identifier": "3426812",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD WISE- NORTON INPATIENT SPECIALISTS",
            "identifier": "200399030",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT- NORTON INPATIENT SPECIALISTS",
            "identifier": "50020903",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIANA MEDICAID- NORTON INPATIENT SPECIALISTS",
            "identifier": "200399030",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2234475",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID KY- NORTON INPATIENT SPECIALISTS",
            "identifier": "64057029",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2179941",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2446133000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA- NORTON INPATIENT SPECIALISTS",
            "identifier": "4130645",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4130645",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID- NORTON INPATIENT SPECIALISTS",
            "identifier": "200399030",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50004781",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE- NORTON INPATIENT SPECIALISTS",
            "identifier": "P00655702",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- NORTON INPATIENT SPECIALISTS",
            "identifier": "00533072",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200399030",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.