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DR. SMITHA BULLOCK M.D.
NPI 1336308444
Pediatrics - Pediatric Cardiology in Louisville, KY

Active since June 04, 2008PECOS Enrolled
100/100
CMS Quality Rating
601 S FLOYD ST, SUITE 602, LOUISVILLE, KY 40202(502) 585-4802(502) 589-1256 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2020, Sep 28, 2020 (2 updates tracked since 2020).

About Dr. Smitha Bullock M.d. NPPES

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

DR. SMITHA BULLOCK M.D. (NPI 1336308444) is an individual pediatric cardiology provider in Louisville, Kentucky, licensed in Kentucky (45511) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336308444
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameDR. SMITHA BULLOCKCredential: M.D.
Location Address601 S FLOYD ST, SUITE 602Louisville, KY 40202-1845
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 585-4802 · Fax (502) 589-1256
Phone(502) 585-4802
Fax(502) 589-1256
Sole ProprietorNo
Enumeration DateJune 4, 2008
Last NPPES UpdateOctober 13, 20202 updates tracked since enumeration
NPPES CertifiedOctober 13, 2020
✔ NPI 1336308444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in KY · 45511
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
601 S FLOYD ST, Louisville, KY 40202
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100224090KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Smitha Bullock 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Smitha Bullock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Louisville Physicians, Inc.
Same address
Pediatric Hematology-Oncology
601 S FLOYD ST, SUITE 403
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
NPI 1134485865 (502) 629-7750
Norton Children's Medical Group, LLC
10 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. SHIRLEY A WILKERSON MD, PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
601 S FLOYD ST, SUITE 801
LOUISVILLE, KY 40202
Jefferson County (502) 852-7049
GLENDA C BABCOCK APRN
Nurse Practitioner (Family)
601 S FLOYD ST, SUITE 700
LOUISVILLE, KY 40202
Jefferson County (502) 899-6907
KIRK D PRATHER MD
Anesthesiology
601 S FLOYD ST, SUITE 407
LOUISVILLE, KY 40202
Jefferson County (502) 629-2880
ALISHA LAYMAN CRNA
Nurse Anesthetist, Certified Registered
601 S FLOYD ST, SUITE 407
LOUISVILLE, KY 40202
Jefferson County (502) 629-2880
MARY ANGELA GUEST RN, MSN
Registered Nurse (Pediatrics)
601 S FLOYD ST, SUITE 801
LOUISVILLE, KY 40202
Jefferson County (502) 852-0136
UNIVERSITY OF LOUISVILLE PHYSICIANS, INC.
Pediatrics
601 S FLOYD ST, SUITE 805
LOUISVILLE, KY 40202
Jefferson County (502) 852-7309
BONE MARROW TRANSPLANT PSC
Psychologist (Clinical Child & Adolescent)
601 S FLOYD ST, SUITE 403
LOUISVILLE, KY 40202
Jefferson County (502) 629-7751
UNIVERSITY OF LOUISVILLE PHYSICIANS, INC.
Pediatrics (Pediatric Hematology-Oncology)
601 S FLOYD ST, SUITE 403
LOUISVILLE, KY 40202
Jefferson County (502) 629-7750

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 Smitha Bullock's NPI number?

The NPI number for Smitha Bullock is 1336308444. It was assigned to this individual provider in the NPPES registry on June 4, 2008.

Where is Smitha Bullock located?

Smitha Bullock practices at 601 S Floyd St Suite 602, Louisville, KY 40202. The listed phone number is (502) 585-4802.

What is Smitha Bullock's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Smitha Bullock enrolled in Medicare?

Yes. Smitha Bullock is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Smitha Bullock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Smitha Bullock reassigns Medicare benefits to 2 organizations: University Of Louisville Physicians, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). Each 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 Smitha Bullock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Smitha Bullock accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Smitha Bullock 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 Smitha Bullock was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.