DR. MARY T KILLIAN MD
NPI 1013449743
Pediatrics - Pediatric Cardiology in Louisville, KY

Q: What is Mary Killian's NPI number?

The NPI number for Mary Killian is 1013449743. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Q: What is Mary Killian's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Mary Killian was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment

411 E CHESTNUT ST # 5A, LOUISVILLE, KY 40202(502) 588-7450 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2023, Jul 1, 2020, Mar 31, 2017 (3 updates tracked since 2017).

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About Dr. Mary T Killian Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY T KILLIAN MD (NPI 1013449743) is an individual pediatric cardiology provider in Louisville, Kentucky, licensed in Kentucky (58700) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1013449743

Entity TypeIndividualFemale

Primary Taxonomy2080P0202X

Provider Legal NameDR. MARY T KILLIANCredential: MD

Location Address411 E CHESTNUT ST # 5ALouisville, KY 40202-1713

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490

Phone(502) 588-7450

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 31, 2017

Last NPPES UpdateJanuary 18, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2024

✔ NPI 1013449743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in KY · 58700

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

411 E CHESTNUT ST # 5A, Louisville, KY 40202

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mary T Killian Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608210620

PECOS Enrollment IDI20240219000957

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY ELIZABETH DIPIETRO M.D.

Pediatrics (Pediatric Cardiology)