HEYDAY HEALTH MEDICAL GROUP KENTUCKY, PSC
NPI 1154034395
Internal Medicine in Louisville, KY

Q: What is Heyday Health Medical Group Kentucky, Psc's specialty?

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

Active since January 03, 2023

312 S 4TH ST STE 700, LOUISVILLE, KY 40202(855) 443-9329 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 30, 2023, Jan 13, 2023, Jan 3, 2023 (3 updates tracked since 2023).

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About Heyday Health Medical Group Kentucky, Psc NPPES

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

HEYDAY HEALTH MEDICAL GROUP KENTUCKY, PSC (NPI 1154034395) is a healthcare organization registered as an internal medicine in Louisville, Kentucky and active in the NPI registry since January 2023. The organization lists Nupur Mehta, President, as its authorized official.

NPPES Registry Identity

NPI1154034395

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameHEYDAY HEALTH MEDICAL GROUP KENTUCKY, PSC

Location Address312 S 4TH ST STE 700Louisville, KY 40202-3046

Mailing Address143 Boardman Canfield Rd Ste 359Boardman, OH 44512-4804

Phone(855) 443-9329

Organization SubpartNo

Authorized OfficialNupur MehtaPresident · (234) 200-0854

Enumeration DateJanuary 3, 2023

Last NPPES UpdateApril 23, 20253 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1154034395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

312 S 4TH ST STE 700, Louisville, KY 40202

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Group Practice 2

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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heyday Health Medical Group Kentucky, Psc 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 Heyday Health Medical Group Kentucky, Psc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephanie Avdagic, DNP, APRN, FNP-BC

Nurse Practitioner

NPI 1003486804

7870 E KEMPER RD STE 150
Cincinnati, OH 45249

(513) 699-9090

✔ PECOS✔ Accepts Medicare104 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 Heyday Health Medical Group Kentucky, Psc's NPI number?

The NPI number for Heyday Health Medical Group Kentucky, Psc is 1154034395. It was assigned to this organization in the NPPES registry on January 3, 2023.

Where is Heyday Health Medical Group Kentucky, Psc located?

Heyday Health Medical Group Kentucky, Psc is located at 312 S 4th St Ste 700, Louisville, KY 40202. The listed phone number is (855) 443-9329.

What is Heyday Health Medical Group Kentucky, Psc's specialty?

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

Is Heyday Health Medical Group Kentucky, Psc enrolled in Medicare?

Yes. Heyday Health Medical Group Kentucky, Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heyday Health Medical Group Kentucky, Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Heyday Health Medical Group Kentucky, Psc. 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 Heyday Health Medical Group Kentucky, Psc was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.