CHAD WALTERS DO LLC
NPI 1154684785
Specialist in Louisville, KY

NPI Status: Active since June 19, 2012

Contact Information

4400 BRECKENRIDGE LN
STE 124
LOUISVILLE, KY
ZIP 40218
Phone: (502) 491-9590
Fax: (502) 491-9592

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  • Organization
  • Specialist
  • Accepts Insurance
  • CLIA Number: 18D2045746
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-19-2026

About CHAD WALTERS DO LLC

This page provides the complete NPI Profile along with additional information for Chad Walters Do Llc, a provider established in Louisville, Kentucky operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1154684785 assigned on June 2012. The practitioner's primary taxonomy code is 174400000X with license number 03009 (KY). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Polly L Purcell D.o. (Partner)

NPI
1154684785
Provider Legal Name
CHAD WALTERS DO LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
4400 BRECKENRIDGE LN STE 124 LOUISVILLE, KY 40218
Location Phone
(502) 491-9590
Location Fax
(502) 491-9592
Mailing Address
4400 BRECKENRIDGE LN STE 124 LOUISVILLE, KY 40218
Mailing Phone
(502) 491-9590
Mailing Fax
(502) 491-9592
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-19-2012
Last Update Date
09-27-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
03009
License State
KY
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

POLLY L PURCELL D.O.

Authorized Official Title
PARTNER
Authorized Official Phone
(502) 491-9590

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2045746
Facility Type
Physician Office
Certificate Effective Date
August 20, 2024
Certificate Expiration Date
August 19, 2026
Laboratory Director
CHAD A. WALTERS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Chad Walters Do Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154684785, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 2 + 8 + 8 + 7 + 1 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1154684785.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Social Worker
4400 BRECKENRIDGE LN, 115
LOUISVILLE, KY 40218
Social Worker
4400 BRECKENRIDGE LN, SUITE 215
LOUISVILLE, KY 40218
Social Worker
4400 BRECKENRIDGE LN, 2ND
LOUISVILLE, KY 40218
Social Worker
4400 BRECKENRIDGE LN, 1ST
LOUISVILLE, KY 40218
Social Worker
4400 BRECKENRIDGE LN
LOUISVILLE, KY 40218
Social Worker
4400 BRECKENRIDGE LN, 1ST FLOOR
LOUISVILLE, KY 40218
Social Worker
4400 BRECKENRIDGE LN
LOUISVILLE, KY 40218
Registered Nurse
4400 BRECKENRIDGE LN
LOUISVILLE, KY 40218
Counselor
4400 BRECKENRIDGE LN
LOUISVILLE, KY 40218
Social Worker
4400 BRECKENRIDGE LN
LOUISVILLE, KY 40218
Counselor
4400 BRECKENRIDGE LN, 1ST FLOOR
LOUISVILLE, KY 40218
Social Worker
4400 BRECKENRIDGE LN, 1ST FLOOR
LOUISVILLE, KY 40218
Rehabilitation Practitioner
4400 BRECKENRIDGE LN, 1ST FLR - 228
LOUISVILLE, KY 40218
Social Worker (Clinical)
4400 BRECKENRIDGE LN
LOUISVILLE, KY 40218
Counselor (Addiction (Substance Use Disorder))
4400 BRECKENRIDGE LN, STE 126
LOUISVILLE, KY 40218
Counselor (Addiction (Substance Use Disorder))
4400 BRECKENRIDGE LN, SUITE # 126
LOUISVILLE, KY 40218
Massage Therapist
4400 BRECKENRIDGE LN
LOUISVILLE, KY 40218
Physical Medicine & Rehabilitation
4400 BRECKENRIDGE LN, SUITE 124
LOUISVILLE, KY 40218

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154684785, enumerated as an "organization" on June 19, 2012.

The provider is located at 4400 BRECKENRIDGE LN STE 124 LOUISVILLE, KY 40218 and the phone number is (502) 491-9590.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.