DR. THOMAS EDWARD MCCORMICK M.D.
NPI 1295720506
Pediatrics - Adolescent Medicine in Louisville, KY

Q: What is Thomas Mccormick's NPI number?

The NPI number for Thomas Mccormick is 1295720506. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Q: What is Thomas Mccormick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Mccormick was last updated on September 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 13, 2005PECOS Enrolled

9905 SHELBYVILLE RD, LOUISVILLE, KY 40223(502) 425-5166(502) 327-0526 Get Directions Write a Review

NPPES record last updated: September 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2017, Jan 16, 2017, Sep 15, 2016 (3 updates tracked since 2016).

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About Dr. Thomas Edward Mccormick M.d. NPPES

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

DR. THOMAS EDWARD MCCORMICK M.D. (NPI 1295720506) is an individual adolescent medicine provider in Louisville, Kentucky, licensed in Kentucky (26121) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295720506

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameDR. THOMAS EDWARD MCCORMICKCredential: M.D.

Location Address9905 SHELBYVILLE RDLouisville, KY 40223-2907

Mailing Address9905 Shelbyville RdLouisville, KY 40223-2907 · (502) 425-5166 · Fax (502) 327-0526

Phone(502) 425-5166

Fax(502) 327-0526

Sole ProprietorNo

Enumeration DateSeptember 13, 2005

Last NPPES UpdateSeptember 13, 20173 updates tracked since enumeration

✔ NPI 1295720506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in KY · 26121

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.

Also ListedPediatricsTaxonomy 208000000X · License 26121 (KY)

9905 SHELBYVILLE RD, Louisville, KY 40223

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Other Identifiers 2

Medicaid64261217KY

Medicare UPING00774KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Thomas Edward Mccormick 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.

Other Providers at the Same Location NPPES 7

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

DR. NICHOLAS M HINKEBEIN M.D.

Pediatrics