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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. MARY E FALLAT M.D.
NPI 1124025127
Surgery - Pediatric Surgery in Louisville, KY

Active since July 05, 2005PECOS Enrolled
100/100
CMS Quality Rating
411 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 588-0390(502) 588-0396 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2026, Oct 14, 2020, Mar 13, 2020 (3 updates tracked since 2020).

About Dr. Mary E Fallat M.d. NPPES

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

DR. MARY E FALLAT M.D. (NPI 1124025127) is an individual pediatric surgery provider in Louisville, Kentucky, licensed in Kentucky (21050) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124025127
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameDR. MARY E FALLATCredential: M.D.
Location Address411 E CHESTNUT STLouisville, KY 40202-1713
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-0390 · Fax (502) 272-5116
Phone(502) 588-0390
Fax(502) 588-0396
Sole ProprietorNo
Enumeration DateJuly 5, 2005
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1124025127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in KY · 21050
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
411 E CHESTNUT ST, Louisville, KY 40202
Open in Google Maps ↗

Other Identifiers 2

Medicaid64210503KY
Medicaid100330770IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian 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 (PECOS)

Dr. Mary E Fallat M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

PATRICIA GAIL WILLIAMS MD
Pediatrics (Developmental - Behavioral Pediatrics)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-0850
MS. KIMBERLY LYNNE HALL DNP FNP-BC
Nurse Practitioner (Family)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-2201
MS. ANN ELIZABETH LORIMER PA-C
Physician Assistant
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-7600
AMANDA BRIAN ROGERS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-3650
HALLEY STEWART GC
Genetic Counselor, MS
411 E CHESTNUT ST, LEVEL 2
LOUISVILLE, KY 40202
Jefferson County (502) 588-0850
JESSICA RAY COLEMAN APRN
Nurse Practitioner (Family)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-3400
ALICE BOOS-EDWARDS APRN
Nurse Practitioner (Pediatrics)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-2201
SAMANTHA MARIA REYES RDN
Dietitian, Registered
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 435-7904

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 Mary Fallat's NPI number?

The NPI number for Mary Fallat is 1124025127. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is Mary Fallat located?

Mary Fallat practices at 411 E Chestnut St, Louisville, KY 40202. The listed phone number is (502) 588-0390.

What is Mary Fallat's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Mary Fallat enrolled in Medicare?

Yes. Mary Fallat is registered in the Medicare PECOS enrollment system.

What insurance does Mary Fallat accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 1 other insurer list Mary Fallat 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 Mary Fallat was last updated on July 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.