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UNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC
NPI 1033366091
Pediatrics - Pediatric Gastroenterology in Louisville, KY

Active since August 21, 2008
210 E GRAY STREET, STE 802, LOUISVILLE, KY 40202(502) 852-7670 Get Directions Write a Review

NPPES record last updated: August 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About University Pediatric Gastroenterology, Llc NPPES

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

UNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC (NPI 1033366091) is a healthcare organization registered as a pediatric gastroenterology in Louisville, Kentucky and active in the NPI registry since August 2008. The organization lists Gerard P. Rabalais, President, as its authorized official.

NPPES Registry Identity

NPI1033366091
Entity TypeOrganization
Primary Taxonomy2080P0206X
Legal Business NameUNIVERSITY PEDIATRIC GASTROENTEROLOGY, LLC
Location Address210 E GRAY STREET, STE 802Louisville, KY 40202-3904
Mailing AddressPo Box 2469Louisville, KY 40201-2469 · (502) 852-8500 · Fax (502) 852-8556
Phone(502) 852-7670
Organization SubpartNo
Authorized OfficialGerard P. RabalaisPresident · (502) 852-8600
Enumeration DateAugust 21, 2008
Last NPPES UpdateAugust 20, 2009
✔ NPI 1033366091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
210 E GRAY STREET, Louisville, KY 40202
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Other Identifiers 3

Medicaid7100063520KY
Medicaid200945670AIN
Medicare PIN00992KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. ADETOKUNBO OLUKOREDE OMORUYI M.D
Pediatrics (Pediatric Endocrinology)
210 E GRAY STREET, SUITE 803
LOUISVILLE, KY 40202
Jefferson County (502) 629-8821
UNIVERSITY CHILDREN'S KIDNEY SPECIALISTS, LLC
Pediatrics (Pediatric Nephrology)
210 E GRAY STREET, STE. 1000
LOUISVILLE, KY 40202
Jefferson County (502) 629-3972
DR. ROBERT PERKINS DILLARD M.D.
Pediatrics (Pediatric Gastroenterology)
210 E GRAY STREET, STE 802
LOUISVILLE, KY 40202
Jefferson County (502) 852-7670

Frequently 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 Pediatric Gastroenterology, LLC's NPI number?

The NPI number for University Pediatric Gastroenterology, LLC is 1033366091. It was assigned to this organization in the NPPES registry on August 21, 2008.

Where is University Pediatric Gastroenterology, LLC located?

University Pediatric Gastroenterology, LLC is located at 210 E Gray Street Ste 802, Louisville, KY 40202. The listed phone number is (502) 852-7670.

What is University Pediatric Gastroenterology, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

When was this NPI record last updated?

The NPPES record for University Pediatric Gastroenterology, LLC was last updated on August 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.