ULTIMATE MD
NPI 1326561648
Internal Medicine in Louisville, KY

Active since July 18, 2017CLIA Certified · 2 labs
125 FAIRFAX AVE, LOUISVILLE, KY 40207(502) 897-6568(502) 890-3510 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Jul 18, 2017 (2 updates tracked since 2017).

About Ultimate Md NPPES

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

ULTIMATE MD (NPI 1326561648) is a healthcare organization registered as an internal medicine in Louisville, Kentucky and active in the NPI registry since July 2017. The organization holds 2 active CLIA laboratory certificates and lists Julie Schoenbaechler, Credentialing Support, as its authorized official.

NPPES Registry Identity

NPI1326561648
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWILLIAM H HANEY MD PLLC ULTIMATE MD
Location Address125 FAIRFAX AVELouisville, KY 40207-4905
Mailing Address125 Fairfax AveLouisville, KY 40207-4905 · (502) 897-6568 · Fax (502) 890-3510
Fax(502) 890-3510
Organization SubpartNo
Authorized OfficialJulie SchoenbaechlerCredentialing Support · (502) 220-8437
Enumeration DateJuly 18, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1326561648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 25305
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
125 FAIRFAX AVE, Louisville, KY 40207

Other Names 1

Doing Business AsUltimate Md

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ultimate Md 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 Ultimate MD, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1538250147
201 MERIDIAN AVE
Louisville, KY 40207
(502) 893-0495
✔ PECOS✔ Accepts Medicare0.1 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 2

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 18D2170681

William H Haney, MD PLLC · Louisville, KY
Active · expires Aug 15, 2027
CLIA Number18D2170681
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorDr. William H. Haney
Laboratory Phone(502) 897-6568
Laboratory LocationWilliam H Haney, MD PLLC125 Fairfax Ave, Louisville, KY 40207
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2324083

Ultimate MD · Louisville, KY
Active · expires May 18, 2027
CLIA Number18D2324083
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorDr. Diane A. Rennirt
Laboratory Phone(502) 713-0777
Laboratory LocationUltimate MD400 Blankenbaker Pkwy Suite 201, Louisville, KY 40243
CLIA data matches this NPI record on: Name
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 William H Haney MD PLLC Ultimate MD's NPI number?

The NPI number for William H Haney MD PLLC Ultimate MD is 1326561648. It was assigned to this organization in the NPPES registry on July 18, 2017. The provider is doing business as Ultimate MD.

Where is William H Haney MD PLLC Ultimate MD located?

William H Haney MD PLLC Ultimate MD is located at 125 Fairfax Ave, Louisville, KY 40207. The listed phone number is (502) 897-6568.

What is William H Haney MD PLLC Ultimate MD's specialty?

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

Is William H Haney MD PLLC Ultimate MD enrolled in Medicare?

Yes. William H Haney MD PLLC Ultimate MD is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through William H Haney MD PLLC Ultimate MD?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to William H Haney MD PLLC Ultimate MD. 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.

Does William H Haney MD PLLC Ultimate MD hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for William H Haney MD PLLC Ultimate MD was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.