MIDDLETOWN PEDIATRICS
NPI 1164645834
Pediatrics - Adolescent Medicine in Louisville, KY

Q: What is Middletown Pediatrics's NPI number?

The NPI number for Middletown Pediatrics is 1164645834. It was assigned to this organization in the NPPES registry on April 11, 2007.

Q: What is Middletown Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since April 11, 2007CLIA 18D0907597 · Waiver

301 C MIDDLETOWN PARK PLACE, LOUISVILLE, KY 40243(502) 244-9858(502) 244-9575 Get Directions Write a Review

NPPES record last updated: March 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Middletown Pediatrics NPPES

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

MIDDLETOWN PEDIATRICS (NPI 1164645834) is a healthcare organization registered as an adolescent medicine in Louisville, Kentucky and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists Dana J. Distler, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1164645834

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameMIDDLETOWN PEDIATRICS

Location Address301 C MIDDLETOWN PARK PLACELouisville, KY 40243

Mailing Address301 C Middletown Park PlaceLouisville, KY 40243 · (502) 244-9858 · Fax (502) 244-9575

Phone(502) 244-9858

Fax(502) 244-9575

Organization SubpartNo

Authorized OfficialDana J. DistlerPhysician/owner · (502) 244-9858

Enumeration DateApril 11, 2007

Last NPPES UpdateMarch 12, 2014

✔ NPI 1164645834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Licenses✔ Licensed in KY · 28883✔ Licensed in KY · 38964✔ Licensed in KY · 39163

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

301 C MIDDLETOWN PARK PLACE, Louisville, KY 40243

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Group Practice 1

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

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 Health and more.Insurance ›

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 18D0907597

Middletown Pediatrics PLLC · Middletown, KY

Active · expires May 10, 2027

CLIA Number18D0907597

Laboratory TypePhysician Office

Certificate Effective DateMay 11, 2025

Certificate Expiration DateMay 10, 2027

Laboratory DirectorDr. Dana J. Distler

Laboratory Phone(502) 244-9858

Laboratory LocationMiddletown Pediatrics PLLC301 Middletown Park Place Suite C, Middletown, KY 40243

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUZANNE L WOODS CPNP

Pediatrics (Adolescent Medicine)

301 C MIDDLETOWN PARK PLACE
LOUISVILLE, KY 40243

Jefferson County (502) 244-9858

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 Middletown Pediatrics's NPI number?

The NPI number for Middletown Pediatrics is 1164645834. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Middletown Pediatrics located?

Middletown Pediatrics is located at 301 C Middletown Park Place, Louisville, KY 40243. The listed phone number is (502) 244-9858.

What is Middletown Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Middletown Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0907597) is associated with this NPI, valid through May 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Middletown Pediatrics accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Middletown Pediatrics 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 Middletown Pediatrics was last updated on March 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.