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PROSPECT INTERNAL MEDICINE
NPI 1033597828
Internal Medicine in Prospect, KY

Active since May 12, 2015CLIA 18D2098061 · Waiver
9537 US HIGHWAY 42, PROSPECT, KY 40059(502) 713-1332(502) 713-1218 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2022, Apr 20, 2020, Nov 22, 2016 (3 updates tracked since 2016).

About Prospect Internal Medicine NPPES

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

PROSPECT INTERNAL MEDICINE (NPI 1033597828) is a healthcare organization registered as an internal medicine in Prospect, Kentucky and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through March 7, 2027, maintains a secondary practice location in Louisville, and lists Tina Yuan, Owner, as its authorized official.

NPPES Registry Identity

NPI1033597828
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameELITE INTERNAL MEDICINE
Location Address9537 US HIGHWAY 42Prospect, KY 40059-9301
Mailing AddressPo Box 319Prospect, KY 40059-0319 · (502) 713-1332 · Fax (502) 713-1218
Phone(502) 713-1332
Fax(502) 713-1218
Organization SubpartNo
Authorized OfficialTina YuanOwner · (502) 713-1332
Enumeration DateMay 12, 2015
Last NPPES UpdateMay 6, 20223 updates tracked since enumeration
NPPES CertifiedMay 6, 2022
✔ NPI 1033597828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
9537 US HIGHWAY 42, Prospect, KY 40059
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Other Names 1

Doing Business AsProspect Internal Medicine

Secondary Practice Location 1

Location 110501 Fischer Park DrLouisville, KY 40241-4139 · Phone (502) 713-1218 · Fax (502) 713-1218

Other Identifiers 1

Other50091760KY · Passport Health Plan

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

CLIA Laboratory Certificates CMS CLIA

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 18D2098061

Elite Internal Medicine Dba Prospect Internal Medicine · Louisville, KY
Active · expires Mar 7, 2027
CLIA Number18D2098061
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorDr. Tina T. Yuan
Laboratory Phone(502) 713-1332
Laboratory LocationElite Internal Medicine Dba Prospect Internal Medicine10501 Fischer Park Drive, Louisville, KY 40241
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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. TINA T YUAN M.D.
Internal Medicine
9537 US HIGHWAY 42
PROSPECT, KY 40059
Jefferson County (502) 713-1332
SAMANTHA CLAYBERN NP
Nurse Practitioner (Family)
9537 US HIGHWAY 42
PROSPECT, KY 40059
Jefferson County (502) 713-1332
ALLYSON RIGGS DNP, FNP-C
Nurse Practitioner (Family)
9537 US HIGHWAY 42
PROSPECT, KY 40059
Jefferson County (502) 713-1332

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 Elite Internal Medicine's NPI number?

The NPI number for Elite Internal Medicine is 1033597828. It was assigned to this organization in the NPPES registry on May 12, 2015. The provider is doing business as Prospect Internal Medicine.

Where is Elite Internal Medicine located?

Elite Internal Medicine is located at 9537 Us Highway 42, Prospect, KY 40059. The listed phone number is (502) 713-1332.

What is Elite Internal Medicine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Elite Internal Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2098061) is associated with this NPI, valid through March 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elite Internal Medicine was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.