LOUISVILLE OBSERVATIONAL MEDICINE ASSOCIATES PSC
NPI 1356018519
Emergency Medicine in Louisville, KY
About Louisville Observational Medicine Associates Psc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOUISVILLE OBSERVATIONAL MEDICINE ASSOCIATES PSC (NPI 1356018519) is a healthcare organization registered as an emergency medicine in Louisville, Kentucky and active in the NPI registry since August 2021. The organization lists William D Holland, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 2
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Louisville Observational Medicine Associates Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
36Medicare enrollment records show 36 clinicians reassign Medicare billing to Louisville Observational Medicine Associates Psc, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 36Louisville, KY 40207
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Observational Medicine Associates Psc's NPI number?
The NPI number for Louisville Observational Medicine Associates Psc is 1356018519. It was assigned to this organization in the NPPES registry on August 25, 2021.
Where is Louisville Observational Medicine Associates Psc located?
Louisville Observational Medicine Associates Psc is located at 4000 Kresge Way, Louisville, KY 40207. The listed phone number is (502) 897-8100.
What is Louisville Observational Medicine Associates Psc's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Louisville Observational Medicine Associates Psc enrolled in Medicare?
Yes. Louisville Observational Medicine Associates Psc is registered in the Medicare PECOS enrollment system.
When is Louisville Observational Medicine Associates Psc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Louisville Observational Medicine Associates Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 2 Medicare specialties reassign their Medicare billing to Louisville Observational Medicine Associates Psc. 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 Emergency Medicine (23) and Nurse Practitioner (13). Of these, 11 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Louisville Observational Medicine Associates Psc was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Louisville Observational Medicine Associates Psc · NPI 1356018519
Emergency Medicine organization in Louisville, Kentucky. Organization record, active in the CMS NPPES registry since August 25, 2021.
## Identity
- **NPI:** 1356018519 (Entity type: Organization)
- **Enumerated:** August 25, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** William Holland, PRESIDENT
## Practice location
- **Address:** 4000 KRESGE WAY, Louisville, KY 40207-4605
- **Phone:** (502) 897-8100 · **Fax:** (904) 265-8181
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Kentucky, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 36 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (23), Nurse Practitioner (13); 11 practice at this address and 28 within 10 miles; [full list](https://npiprofile.com/npi/1356018519/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1356018519) · Data from the CMS NPPES public registry.