MAXILLOFACIAL ONCOLOGIC DENTISTRY
NPI 1013041391
Special Hospital in Louisville, KY
About Maxillofacial Oncologic Dentistry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAXILLOFACIAL ONCOLOGIC DENTISTRY (NPI 1013041391) is a healthcare organization registered as a special hospital in Louisville, Kentucky and active in the NPI registry since March 2007. The organization holds 7 active CLIA laboratory certificates and lists Zafrulla Khan, Prosthodontics, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 11
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maxillofacial Oncologic Dentistry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Maxillofacial Oncologic Dentistry, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 12 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (14)
Louisville, KY 40202
Louisville, KY 40292
Louisville, KY 40292
Louisville, KY 40292
Louisville, KY 40292
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 7
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 18D1021751
University Of Louisville Clinical Trials Unit · Louisville, KYCertificate of Compliance 18D0648480
University Of Louisville Infectious Diseases Laboratory · Louisville, KYCertificate of Waiver 18D0991173
University Of Louisville Physicians Surgery · Louisville, KYCertificate of Compliance 18D0648475
University Of Louisville Oral Pathology Lab · Louisville, KYCertificate of Waiver 18D1013915
University Of Louisville Dialysis Center · Louisville, KYCertificate of Accreditation 18D0666090
University Of Louisville Hospital · Louisville, KYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is University Of Louisville's NPI number?
The NPI number for University Of Louisville is 1013041391. It was assigned to this organization in the NPPES registry on March 16, 2007. The provider is also known as Maxillofacial Oncologic Dentistry.
Where is University Of Louisville located?
University Of Louisville is located at 529 S Jackson St # 127, Louisville, KY 40202. The listed phone number is (502) 852-5747.
What is University Of Louisville's specialty?
The primary specialty registered for this NPI is Special Hospital with taxonomy code 284300000X.
Is University Of Louisville enrolled in Medicare?
Yes. University Of Louisville is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through University Of Louisville?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to University Of Louisville. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dentist (5), Maxillofacial Surgery (4) and Oral Surgery (4). Of these, 1 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does University Of Louisville hold CLIA laboratory certificates?
Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for University Of Louisville was last updated on September 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Maxillofacial Oncologic Dentistry · NPI 1013041391
Special Hospital organization in Louisville, Kentucky. Organization record, active in the CMS NPPES registry since March 16, 2007.
## Identity
- **NPI:** 1013041391 (Entity type: Organization)
- **Enumerated:** March 16, 2007
- **Primary specialty:** Special Hospital · taxonomy 284300000X
- **Legal business name:** University Of Louisville
- **Organization subpart:** No
- **Authorized official:** Zafrulla Khan, PROSTHODONTICS
## Practice location
- **Address:** 529 S JACKSON ST, # 127, Louisville, KY 40202-3229
- **Phone:** (502) 852-5747 · **Fax:** (502) 852-6132
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dentist (5), Maxillofacial Surgery (4), Oral Surgery (4); 1 practice at this address and 12 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2009
- **Other identifiers:** Medicare PIN 00600 (KY); Other 775656 (KY); Other 000000175275 (KY); and 8 more
- **CLIA laboratory certificates:** 7 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013041391) · Data from the CMS NPPES public registry.