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LOUISVILLE INTERNAL MEDICINE & PEDIATRICS, LLC
NPI 1265567572
Internal Medicine in Louisville, KY

Active since February 23, 2007CLIA 18D1033963 · Waiver
3101 BRECKENRIDGE LN, #4E, LOUISVILLE, KY 40220(502) 454-5252(502) 454-5353 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Louisville Internal Medicine & Pediatrics, Llc NPPES

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

LOUISVILLE INTERNAL MEDICINE & PEDIATRICS, LLC (NPI 1265567572) is a healthcare organization registered as an internal medicine in Louisville, Kentucky and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through November 21, 2026 and lists Clara Ann Pallares, President, as its authorized official.

NPPES Registry Identity

NPI1265567572
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLOUISVILLE INTERNAL MEDICINE & PEDIATRICS, LLC
Location Address3101 BRECKENRIDGE LN, #4ELouisville, KY 40220-2742
Mailing Address3101 Breckenridge Ln, #4eLouisville, KY 40220-2742 · (502) 454-5252 · Fax (502) 454-5353
Phone(502) 454-5252
Fax(502) 454-5353
Organization SubpartNo
Authorized OfficialClara Ann PallaresPresident · (502) 454-5252
Enumeration DateFebruary 23, 2007
Last NPPES UpdateMay 17, 2024
NPPES CertifiedMay 17, 2024
✔ NPI 1265567572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 30532
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 ListedPediatricsTaxonomy 208000000X · License 30532 (KY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 002051P (KY)
3101 BRECKENRIDGE LN, Louisville, KY 40220
Open in Google Maps ↗

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 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)

Louisville Internal Medicine & Pediatrics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Louisville Internal Medicine & Pediatrics, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Deanna Hanna, APRN, FNP-C
Nurse Practitioner
NPI 1487305363
3101 BRECKENRIDGE LN STE 4E
Louisville, KY 40220
(502) 454-5252
✔ PECOSSame address
Lindsey Mcpherson, APRN
Nurse Practitioner
NPI 1003409202
3101 BRECKENRIDGE LN STE 4E
Louisville, KY 40220
(502) 454-5252
✔ PECOSSame address
Clara Pallares, MD
Internal Medicine
NPI 1124092366
3101 BRECKINRIDGE LN #4E
Louisville, KY 40220
(502) 454-5252
✔ PECOS✔ Accepts MedicareSame address
Jessica Kremer, APRN
Nurse Practitioner
NPI 1902369010
7926 PRESTON HWY STE 106
Louisville, KY 40219
(502) 964-4357
✔ PECOS✔ Accepts Medicare6.1 mi
Brittany Kirchner
Nurse Practitioner
NPI 1831636406
201 ABRAHAM FLEXNER WAY STE 1200
Louisville, KY 40202
(502) 588-7600
✔ PECOS✔ Accepts Medicare7.2 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 18D1033963

Louisville Internal Medicine Ped · Louisville, KY
Active · expires Nov 21, 2026
CLIA Number18D1033963
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2024
Certificate Expiration DateNovember 21, 2026
Laboratory DirectorClara A. Pallares
Laboratory Phone(502) 454-5252
Laboratory LocationLouisville Internal Medicine Ped3101 Breckenridge Lane Suite 4E, Louisville, KY 40220
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 Louisville Internal Medicine & Pediatrics, LLC's NPI number?

The NPI number for Louisville Internal Medicine & Pediatrics, LLC is 1265567572. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Louisville Internal Medicine & Pediatrics, LLC located?

Louisville Internal Medicine & Pediatrics, LLC is located at 3101 Breckenridge Ln #4e, Louisville, KY 40220. The listed phone number is (502) 454-5252.

What is Louisville Internal Medicine & Pediatrics, LLC's specialty?

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

Is Louisville Internal Medicine & Pediatrics, LLC enrolled in Medicare?

Yes. Louisville Internal Medicine & Pediatrics, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Louisville Internal Medicine & Pediatrics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Louisville Internal Medicine & Pediatrics, LLC. 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 (4) and Internal Medicine (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Louisville Internal Medicine & Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1033963) is associated with this NPI, valid through November 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Louisville Internal Medicine & Pediatrics, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Louisville Internal Medicine & Pediatrics, LLC 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 Louisville Internal Medicine & Pediatrics, LLC was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.