GENESIS ELDERCARE PHYSICIAN SERVICES LLC
NPI 1033535828
Internal Medicine - Geriatric Medicine in Louisville, KY

Active since March 17, 2014
16605 CHESTNUT GLEN PL, LOUISVILLE, KY 40245(410) 543-1957 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2019, Jul 10, 2018, Apr 12, 2018 (3 updates tracked since 2018).

About Genesis Eldercare Physician Services Llc NPPES

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

GENESIS ELDERCARE PHYSICIAN SERVICES LLC (NPI 1033535828) is a healthcare organization registered as a geriatric medicine in Louisville, Kentucky and active in the NPI registry since March 2014. The organization lists Eric Shapiro, Vice President, as its authorized official.

NPPES Registry Identity

NPI1033535828
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameGENESIS ELDERCARE PHYSICIAN SERVICES LLC
Location Address16605 CHESTNUT GLEN PLLouisville, KY 40245
Mailing AddressPo Box 62946Baltimore, MD 21264-2946 · (410) 494-7607
Organization SubpartYesParent: Genesis Healthcare, Llc
Authorized OfficialEric ShapiroVice President · (410) 832-7790
Enumeration DateMarch 17, 2014
Last NPPES UpdateAugust 5, 20193 updates tracked since enumeration
✔ NPI 1033535828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 0858289.09 (KY)
16605 CHESTNUT GLEN PL, Louisville, KY 40245

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Eldercare Physician Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Genesis Eldercare Physician Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1295276400
1550 RAYDALE DR
Louisville, KY 40219
(502) 428-1032
✔ PECOS15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Genesis Eldercare Physician Services LLC's NPI number?

The NPI number for Genesis Eldercare Physician Services LLC is 1033535828. It was assigned to this organization in the NPPES registry on March 17, 2014.

Where is Genesis Eldercare Physician Services LLC located?

Genesis Eldercare Physician Services LLC is located at 16605 Chestnut Glen Pl, Louisville, KY 40245. The listed phone number is (410) 543-1957.

What is Genesis Eldercare Physician Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Genesis Eldercare Physician Services LLC enrolled in Medicare?

Yes. Genesis Eldercare Physician Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Eldercare Physician Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Genesis Eldercare Physician Services LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Genesis Eldercare Physician Services LLC was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.