CHILDRENS DIABETES AND ENDOCRINOLOGY
NPI 1386070019
Pediatrics - Pediatric Endocrinology in Louisville, KY

Active since September 26, 2013CLIA 18D1025622 · Waiver
9720 PARK PLAZA AVE UNIT 202, LOUISVILLE, KY 40241(502) 327-9703(502) 327-9798 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Childrens Diabetes And Endocrinology NPPES

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

CHILDRENS DIABETES AND ENDOCRINOLOGY (NPI 1386070019) is a healthcare organization registered as a pediatric endocrinology in Louisville, Kentucky and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through May 11, 2028 and lists Susie Minsterketter, Billing Dept, as its authorized official.

NPPES Registry Identity

NPI1386070019
Entity TypeOrganization
Primary Taxonomy2080P0205X
Legal Business NameSUSAN RAGHAVAN, MD
Location Address9720 PARK PLAZA AVE UNIT 202Louisville, KY 40241-2290
Mailing Address9720 Park Plaza Ave Unit 202Louisville, KY 40241-2290 · (502) 327-9703 · Fax (502) 327-9798
Fax(502) 327-9798
Organization SubpartNo
Authorized OfficialSusie MinsterketterBilling Dept · (502) 327-9703
Enumeration DateSeptember 26, 2013
NPI 1386070019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License Licensed in KY · 34555
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
9720 PARK PLAZA AVE UNIT 202, Louisville, KY 40241

Other Names 1

Doing Business AsChildrens Diabetes And Endocrinology

Other Identifiers 2

Medicaid64880008KY
Other2080P0205XKY · Pediatric Endocrinology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 18D1025622

Children's Diabetes And Endocrinology · Louisville, KY
Active · expires May 11, 2028
CLIA Number18D1025622
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorSusan Raghavan
Laboratory Phone(502) 327-9703
Laboratory LocationChildren's Diabetes And Endocrinology9720 Park Plaza Avenue, Suite 202, Louisville, KY 40241
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Pediatrics (Pediatric Endocrinology)
9720 PARK PLAZA AVE UNIT 202
LOUISVILLE, KY 40241

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 Susan Raghavan, MD's NPI number?

The NPI number for Susan Raghavan, MD is 1386070019. It was assigned to this organization in the NPPES registry on September 26, 2013. The provider is doing business as Childrens Diabetes And Endocrinology.

Where is Susan Raghavan, MD located?

Susan Raghavan, MD is located at 9720 Park Plaza Ave Unit 202, Louisville, KY 40241. The listed phone number is (502) 327-9703.

What is Susan Raghavan, MD's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Does Susan Raghavan, MD hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1025622) is associated with this NPI, valid through May 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Susan Raghavan, MD was last updated on September 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.