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GREATER LOUISVILLE INTERNAL MEDICINE PSC
NPI 1407820533
Internal Medicine in Prospect, KY

Active since February 15, 2006CLIA 18D0903172 · Certificate of Compliance
9517 US HIGHWAY 42, PROSPECT, KY 40059(502) 587-0521(502) 587-3901 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Greater Louisville Internal Medicine Psc NPPES

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

GREATER LOUISVILLE INTERNAL MEDICINE PSC (NPI 1407820533), doing business as Ciliberti, Wijangco & Bosler, Psc, is a healthcare organization registered as an internal medicine in Prospect, Kentucky and active in the NPI registry since February 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 26, 2028 and lists Salvatore Ciliberti, Vice President, as its authorized official.

NPPES Registry Identity

NPI1407820533
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGREATER LOUISVILLE INTERNAL MEDICINE PSC
Location Address9517 US HIGHWAY 42Prospect, KY 40059-9237
Mailing Address9517 Us Highway 42Prospect, KY 40059-9237 · (502) 587-0521 · Fax (502) 587-3901
Phone(502) 587-0521
Fax(502) 587-3901
Organization SubpartNo
Authorized OfficialSalvatore CilibertiVice President · (502) 587-0521
Enumeration DateFebruary 15, 2006
Last NPPES UpdateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
✔ NPI 1407820533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
9517 US HIGHWAY 42, Prospect, KY 40059
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Other Names 1

Former Legal Business NameCiliberti, Wijangco & Bosler, Psc

Other Identifiers 1

Medicaid65901316KY

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greater Louisville Internal Medicine Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Greater Louisville Internal Medicine Psc, which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Padmapriya Balakrishna, M.D.
Internal Medicine
NPI 1295709251
9517 US HIGHWAY 42 STE 410
Prospect, KY 40059
(502) 587-0521
✔ PECOS✔ Accepts MedicareSame address
James Bosler, MD
Internal Medicine
NPI 1932173887
9517 US HIGHWAY 42
Prospect, KY 40059
(502) 587-0521
✔ PECOS✔ Accepts MedicareSame address
Michael Chesnut, M.D.
Internal Medicine
NPI 1821127333
9517 US HIGHWAY 42
Prospect, KY 40059
(502) 767-1248
✔ PECOS✔ Accepts MedicareSame address
Gregory Ciliberti, MD
Internal Medicine
NPI 1285657585
9517 US HIGHWAY 42
Prospect, KY 40059
(502) 587-0521
✔ PECOS✔ Accepts MedicareSame address
Salvatore Ciliberti, M.D.
Internal Medicine
NPI 1770506073
9517 US HIGHWAY 42 STE 410
Prospect, KY 40059
(502) 587-0521
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Omer, MD
Internal Medicine
NPI 1821062605
9517 US HIGHWAY 42
Prospect, KY 40059
(502) 587-0521
✔ PECOS✔ Accepts MedicareSame address
Harry Renco, MD
Internal Medicine
NPI 1124093075
9517 US HIGHWAY 42 STE 410
Prospect, KY 40059
(502) 587-0521
✔ PECOS✔ Accepts MedicareSame address
Jennifer Walden-Fain, M.D.
Internal Medicine
NPI 1841211174
9517 US HIGHWAY 42 STE 410
Prospect, KY 40059
(502) 587-0521
✔ PECOS✔ Accepts MedicareSame address

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

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 Compliance 18D0903172

Greater Louisville Internal Medicine · Prospect, KY
Active · expires Jun 26, 2028
CLIA Number18D0903172
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2026
Certificate Expiration DateJune 26, 2028
Laboratory DirectorDr. Salvatore Ciliberti
Laboratory Phone(502) 214-8107
Laboratory LocationGreater Louisville Internal Medicine9517 Us Highway 42, Prospect, KY 40059
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Greater Louisville Internal Medicine Psc's NPI number?

The NPI number for Greater Louisville Internal Medicine Psc is 1407820533. It was assigned to this organization in the NPPES registry on February 15, 2006. The provider was formerly known as Ciliberti, Wijangco & Bosler, Psc.

Where is Greater Louisville Internal Medicine Psc located?

Greater Louisville Internal Medicine Psc is located at 9517 Us Highway 42, Prospect, KY 40059. The listed phone number is (502) 587-0521.

What is Greater Louisville Internal Medicine Psc's specialty?

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

Is Greater Louisville Internal Medicine Psc enrolled in Medicare?

Yes. Greater Louisville Internal Medicine Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greater Louisville Internal Medicine Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Internal Medicine, reassign their Medicare billing to Greater Louisville Internal Medicine 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. Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Greater Louisville Internal Medicine Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 18D0903172) is associated with this NPI, valid through June 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Greater Louisville Internal Medicine Psc accept?

Health plans from Anthem Blue Cross and Blue Shield list Greater Louisville Internal Medicine Psc 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 Greater Louisville Internal Medicine Psc was last updated on November 30, 2021. 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.