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M&M MEDICAL CLINICS LLC
NPI 1467960492
Internal Medicine in Masonic Home, KY

Active since January 11, 2018CLIA 18D2148335 · Waiver
240 MASONIC HOME DR, MASONIC HOME, KY 40041(502) 530-0916(502) 719-1124 Get Directions Write a Review

NPPES record last updated: December 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2019, Jan 11, 2018 (2 updates tracked since 2018).

About M&m Medical Clinics Llc NPPES

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

M&M MEDICAL CLINICS LLC (NPI 1467960492) is a healthcare organization registered as an internal medicine in Masonic Home, Kentucky and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Venkat Sharma, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467960492
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameM&M MEDICAL CLINICS LLC
Location Address240 MASONIC HOME DRMasonic Home, KY 40041-9000
Mailing Address500 W Jefferson St Ste 2310Louisville, KY 40202-2823 · (502) 530-0916 · Fax (502) 719-1124
Phone(502) 530-0916
Fax(502) 719-1124
Organization SubpartNo
Authorized OfficialVenkat SharmaCeo · (502) 530-0916
Enumeration DateJanuary 11, 2018
Last NPPES UpdateDecember 23, 20192 updates tracked since enumeration
✔ NPI 1467960492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
240 MASONIC HOME DR, Masonic Home, KY 40041
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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

Accepted Insurance

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

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 18D2148335

M&m Medical Clinics LLC Dba Care Clinic · Masonic Home, KY
Active · expires May 7, 2028
CLIA Number18D2148335
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorDr. Josephine P. Gomes
Laboratory Phone(502) 873-2356
Laboratory LocationM&m Medical Clinics LLC Dba Care Clinic240 Masonic Home Drive, Masonic Home, KY 40041
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MASONIC HOMES OF KENTUCKY INC
Skilled Nursing Facility
240 MASONIC HOME DR
MASONIC HOME, KY 40041
Jefferson County (502) 897-4907
MASONIC HOMES OF LOUISVILLE LLC
Skilled Nursing Facility
240 MASONIC HOME DR
MASONIC HOME, KY 40041
Jefferson County (502) 897-4907
JENNIFER RENEE KIEF
Occupational Therapist
240 MASONIC HOME DR
MASONIC HOME, KY 40041
Jefferson County (502) 753-8815
MRS. NATALIE JANE TINSLEY OTR/L
Occupational Therapist
240 MASONIC HOME DR
MASONIC HOME, KY 40041
Jefferson County (502) 753-8850
MR. JAMES AUSTIN HAWKINS PT
Physical Therapist
240 MASONIC HOME DR
MASONIC HOME, KY 40041
Jefferson County (502) 753-8815

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 M&m Medical Clinics LLC's NPI number?

The NPI number for M&m Medical Clinics LLC is 1467960492. It was assigned to this organization in the NPPES registry on January 11, 2018.

Where is M&m Medical Clinics LLC located?

M&m Medical Clinics LLC is located at 240 Masonic Home Dr, Masonic Home, KY 40041. The listed phone number is (502) 530-0916.

What is M&m Medical Clinics LLC's specialty?

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

Does M&m Medical Clinics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2148335) is associated with this NPI, valid through May 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does M&m Medical Clinics LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list M&m Medical Clinics LLC 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 M&m Medical Clinics LLC was last updated on December 23, 2019. 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.