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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: October 25, 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prospect Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Prospect Internal Medicine, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Samantha Claybern, NP
Nurse Practitioner
NPI 1639729312
9537 US HIGHWAY 42
Prospect, KY 40059
(502) 713-1332
✔ PECOS✔ Accepts MedicareSame address
Allyson Riggs, DNP, FNP-C
Nurse Practitioner
NPI 1720691470
9537 US HIGHWAY 42
Prospect, KY 40059
(502) 713-1332
✔ PECOSSame address
Tina Yuan, M.D.
Internal Medicine
NPI 1295758514
9537 US HIGHWAY 42
Prospect, KY 40059
(502) 713-1332
✔ PECOS✔ Accepts MedicareSame address
Katherine Thompson, MSN, FNP-C
Nurse Practitioner
NPI 1477036994
115 HUSTON DR STE 1
Shepherdsville, KY 40165
(502) 955-7311
✔ PECOS✔ Accepts Medicare24 mi

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

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.

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.

Is Elite Internal Medicine enrolled in Medicare?

Yes. Elite Internal Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Internal Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Elite Internal Medicine. 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 Nurse Practitioner (3) and Internal Medicine (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

What insurance does Elite Internal Medicine accept?

Health plans from Anthem Blue Cross and Blue Shield list Elite Internal Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.