Individual provider Active NPI

Tiffany Nicole Wright, MD

  • Pediatric Surgery Physician
  • Louisville, KY
National Provider Identifier
1992968689
Registry record updated Oct 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
47836 Issued in KY
Practice address
411 E Chestnut St
Louisville, KY 40202-1713
Phone
(502) 588-0390
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 47836 KY
Surgical Critical Care Physician 2086S0102X 47836 KY
Pediatric Surgery Physician 2086S0120X 47836 KY Primary

Addresses

Primary practice location

411 E Chestnut St
Louisville, KY 40202-1713

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Other practice location 1

234 E Gray St
Ste 766
Louisville, KY 40202-1901
Phone (502) 583-7337

Other practice location 2

234 E Gray St
Ste 766
Louisville, KY 40202-1901
Phone (502) 588-0390

Other identifiers 2

IdentifierTypeStateIssuer
7100354190MedicaidKY
300003088MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address twright85043@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170609002106 KY Practitioner - Pediatric MedicinePractitioner - General Surgery 9133345747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: General Surgery
Education
University of Kentucky College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Childrens Medical Group LLCGroup PAC ID 3779917596, 234 clinicians

Practice addresses (Care Compare)

411 E Chestnut St
Louisville, KY 40202-1713
Phone (502) 588-0800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2017 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2017 Accepting new patients
University of Louisville Physicians, Inc. Surgery Current Accepting new patients
Norton Children'S Medical Group, LLC Pediatric Surgery CurrentSince Mar 1, 2020 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Norton Childrens Medical Group, LLC Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

234 E Gray St
Ste 766
Louisville, KY 40202
Phone (502) 583-7337

411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330

4910 Chamberlain Ln
Louisville, KY 40241
Phone (502) 446-5000

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

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

411 E Chestnut St
#4B
Louisville, KY 40202
Phone (502) 588-3600

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

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Interoperability endpoints

  • Direct secure messaging: twright85043@direct.nortonhealthcare.org

Organizations & group practices 8

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602374400000",
    "number": "1992968689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "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": "411 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021713",
            "telephone_number": "502-588-0390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 E Gray St",
            "address_2": "Ste 766",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021901",
            "country_code": "US",
            "telephone_number": "502-583-7337",
            "fax_number": "502-584-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "234 E Gray St",
            "address_2": "Ste 766",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021901",
            "country_code": "US",
            "telephone_number": "502-588-0390",
            "fax_number": "502-584-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "47836",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "KY",
            "license": "47836",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "KY",
            "license": "47836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100354190",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300003088",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twright85043@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "234 E Gray St",
            "address_2": "Ste 766",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "234 E Gray St",
            "address_2": "Ste 766",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.