SUSAN JANOCIK MD
NPI 1225101504
Internal Medicine in Louisville, KY
Quality Rating: 7.44 out of 100 score
NPI Status: Active since November 16, 2006
Contact Information
4003 KRESGE WAY
SUITE 226
LOUISVILLE, KY
ZIP 40207
Phone: (502) 895-4772
Fax: (502) 899-9756
- NPI Profile Information
- Primary Taxonomy
- Insurance Plans Accepted
- Medicare Participation & PECOS Status
- Areas of Expertise
- Durable Medical Equipment
- Physician Visit Costs
- Overall Quality Performance
- Quality Reporting
- Hospital Affiliations - Privileges
- CLIA Information
- NPI Validation
- Other Providers Same Location
- Frequently Asked Questions
- Individual
- Female
- Years of Experience 36
- Internal Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
- CLIA Number: 18D0704539
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-21-2027
About SUSAN JANOCIK
This page provides the complete NPI Profile along with additional information for Susan Janocik, an internist established in Louisville, Kentucky with a medical specialization in Internal Medicine and more than 36 years of experience. She graduated from University Of Louisville School Of Medicine in 1990. The healthcare provider is registered in the NPI registry with number 1225101504 assigned on November 2006. The practitioner's primary taxonomy code is 207R00000X with license number 28032 (KY). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1225101504
- Provider Name
- SUSAN JANOCIK MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4003 KRESGE WAY SUITE 226 LOUISVILLE, KY 40207
- Location Phone
- (502) 895-4772
- Location Fax
- (502) 899-9756
- Mailing Address
- 4003 KRESGE WAY SUITE 226 LOUISVILLE, KY 40207
- Mailing Phone
- (502) 895-4772
- Mailing Fax
- (502) 899-9756
- Medical School Name
- UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
- Graduation Year
- 1990
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-16-2006
- Last Update Date
- 12-02-2011
- Code Navigator
An internist like Susan Janocik is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 28032
- License State
- KY
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0299202 | MEDICARE PIN (08) | KY | |
| F56311 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Susan Janocik is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Susan Janocik is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7618067372
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20071218000344
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
18 DME suppliers used 53 Medicare Claims 130 Services Paid
DME-Medical/Surgical Supplies (DA000N)
Lancets, per box of 100 (HCPCS:A4259)
7 DME suppliers used 15 Medicare Claims 28 Services Paid
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
2 DME suppliers used 20 Medicare Claims 20 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Automated urinalysis test
Cervical or vaginal cancer screening; pelvic and clinical breast examination
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
Insertion of needle into vein for collection of blood sample
Manual urinalysis test with examination using microscope, automated
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
Prostate cancer screening; digital rectal examination
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Telephone medical discussion with physician, 11-20 minutes
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 280 times for 280 patientsAn automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
This service was performed 212 times for 184 patientsThis procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
This service was performed 42 times for 42 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 423 times for 241 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 232 times for 161 patientsAn Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
This service was performed 29 times for 29 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 138 times for 113 patientsA manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
This service was performed 13 times for 13 patientsThis service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
This service was performed 29 times for 21 patientsProstate cancer screening involves a simple test called a digital rectal examination. In this procedure, a healthcare professional checks for any irregularities in the gland located under your bladder. This test can help detect issues early, improving outcomes.
This service was performed 19 times for 19 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 61 times for 60 patientsThis is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
This service was performed 29 times for 27 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $30.69 for a new patient copayment and $23.48 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 40207 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $122.77
- Minimum New Patient Price $52.76
- Maximum New Patient Price $162.27
- Average New Patient Copayment $30.69
- Minimum New Patient Copayment $13.19
- Maximum New Patient Copayment $40.56
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.94
- Minimum Established Patient Price $16.53
- Maximum Established Patient Price $131.99
- Average Established Patient Copayment $23.48
- Minimum Established Patient Copayment $4.13
- Maximum Established Patient Copayment $32.99
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 7.44, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 7.44 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 0
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 0
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 24.8
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 24.8
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Colorectal Cancer Screening | 100% | 254 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
| Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
| Pneumococcal Vaccination Status for Older Adults | 88% | 354 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Screening for Osteoporosis for Women Aged 65-85 Years of Age | 100% | 174 |
| Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Susan Janocik is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| JEWISH HOSPITAL & ST MARY'S HEALTHCARE | 200 ABRAHAM FLEXNER WAY LOUISVILLE, KY 40202 | (502) 587-4011 | Acute Care Hospitals | |
| NORTON HOSPITALS, INC | 200 EAST CHESTNUT STREET LOUISVILLE, KY 40202 | (502) 629-8000 | Acute Care Hospitals | |
| BAPTIST HEALTH LOUISVILLE | 4000 KRESGE WAY LOUISVILLE, KY 40207 | (502) 897-8100 | Acute Care Hospitals | |
| BAPTIST HEALTH LAGRANGE | 1025 NEW MOODY LANE LA GRANGE, KY 40031 | (502) 222-5388 | Acute Care Hospitals |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D0704539
- Facility Type
- Physician Office
- Certificate Effective Date
- May 22, 2025
- Certificate Expiration Date
- May 21, 2027
- Laboratory Director
- DR SUSAN E. JANOCIK
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Susan Janocik in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 2 | 5 | 1 | 0 | 1 | 5 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 2 | 0 | 2 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 2 + 0 + 2 + 5 + 0 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1225101504 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790789642 | DR. HERMANN W KAEBNICK M.D. Individual | Surgery (Vascular Surgery) | 4003 KRESGE WAY STE 100 LOUISVILLE, KY 40207 (502) 897-5139 |
| 1043219520 | MRS. TRACEY GREGORY MAYNOR PAC Individual | Physician Assistant | 4003 KRESGE WAY #221 LOUISVILLE, KY 40207 (502) 897-7107 |
| 1033119987 | MR. STANLEY S. CHMIEL M.D. Individual | Otolaryngology | 4003 KRESGE WAY STE 227 LOUISVILLE, KY 40207 (502) 893-3342 |
| 1821082991 | MRS. NANCY K SCOTT R.N. Individual | Registered Nurse | 4003 KRESGE WAY SUITE 400 LOUISVILLE, KY 40207 (502) 895-4263 |
| 1538153309 | ST MATTHEWS MEDICAL ASSOCIATES Organization | Clinical Medical Laboratory | 4003 KRESGE WAY SUITE 400 LOUISVILLE, KY 40207 (502) 895-4263 |
| 1811981400 | DR. PHILIP G. MORROW M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 4003 KRESGE WAY SUITE 400 LOUISVILLE, KY 40207 (502) 895-4263 |
| 1437131083 | DR. DAVID H BIZOT M.D. Individual | Internal Medicine (Pulmonary Disease) | 4003 KRESGE WAY SUITE 410 LOUISVILLE, KY 40207 (502) 893-7462 |
| 1679544423 | DANIEL COMYNS SCULLIN JR. MD Individual | Internal Medicine (Hematology & Oncology) | 4003 KRESGE WAY SUITE 500 LOUISVILLE, KY 40207 (502) 897-1166 |
| 1649241480 | MANUEL GRIMALDI MD Individual | Internal Medicine (Hematology & Oncology) | 4003 KRESGE WAY SUITE 500 LOUISVILLE, KY 40207 (502) 897-1166 |
| 1750353611 | CHARLES LOUIS DANNAHER MD Individual | Internal Medicine (Hematology & Oncology) | 4003 KRESGE WAY SUITE 500 LOUISVILLE, KY 40207 (502) 897-1166 |
| 1063486892 | ANNA LAURA TRIMBUR ARNP Individual | Nurse Practitioner (Family) | 4003 KRESGE WAY STE 312 LOUISVILLE, KY 40207 (502) 899-7377 |
| 1376517227 | KAREN A STICE ARNP Individual | Nurse Practitioner (Family) | 4003 KRESGE WAY STE 312 LOUISVILLE, KY 40207 (502) 899-7377 |
| 1710951660 | JOHN A LLOYD MD Individual | Internal Medicine (Pulmonary Disease) | 4003 KRESGE WAY STE 312 LOUISVILLE, KY 40207 (502) 899-7377 |
| 1255305108 | BARRY S STOLER MD Individual | Internal Medicine (Pulmonary Disease) | 4003 KRESGE WAY STE 312 LOUISVILLE, KY 40207 (502) 899-7377 |
| 1821191354 | SAMUEL RANDOLPH SCHEEN III MD Individual | Dermatology | 4003 KRESGE WAY SUITE 226 LOUISVILLE, KY 40207 (502) 893-1645 |
| 1760675490 | SUSAN KIM SCHROERLUCKE NURSE PRACTITIONER Individual | Nurse Practitioner (Family) | 4003 KRESGE WAY SUITE 115 LOUISVILLE, KY 40207 (502) 897-8163 |
| 1184806390 | LAURA C FORD ARNP Individual | Clinical Nurse Specialist (Oncology) | 4003 KRESGE WAY SUITE 500 LOUISVILLE, KY 40207 (502) 897-1166 |
| 1437114048 | ROY D UPTON MD Individual | Internal Medicine | 4003 KRESGE WAY STE 228 LOUISVILLE, KY 40207 (502) 893-5100 |
| 1104890938 | JOEL A HOROWITZ MD Individual | Internal Medicine (Pulmonary Disease) | 4003 KRESGE WAY STE 312 LOUISVILLE, KY 40207 (502) 899-7377 |
| 1497709547 | MISS ANGELA KAY ARNOLD APRN Individual | Nurse Practitioner | 4003 KRESGE WAY SUITE 410 LOUISVILLE, KY 40207 (502) 893-7462 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225101504, enumerated in the NPI registry as an "individual" on November 16, 2006
The provider is located at 4003 Kresge Way Suite 226 Louisville, Ky 40207 and the phone number is (502) 895-4772
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider has more than 36 years of experience. She graduated from University Of Louisville School Of Medicine in 1990.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $122.77 with an average copayment of $30.69 for new patient appointments. Established patients should expect a typical charge of $93.94 and an average copayment of 23.48. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Automated urinalysis test, Cervical or vaginal cancer screening; pelvic and clinical breast examination, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment, Insertion of needle into vein for collection of blood sample, Manual urinalysis test with examination using microscope, automated, Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional, Prostate cancer screening; digital rectal examination, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report and Telephone medical discussion with physician, 11-20 minutes.
The provider's CLIA number is 18D0704539 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
The practitioner is affiliated to the following hospital(s): JEWISH HOSPITAL & ST MARY'S HEALTHCARE, NORTON HOSPITALS, INC, BAPTIST HEALTH LOUISVILLE and BAPTIST HEALTH LAGRANGE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on November 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.