1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Clinic Center
  6. NPI Profile

PEARL MEDICAL PRACTICE PLLC
NPI 1669841631
Clinic/Center - Primary Care in Louisville, KY

Active since September 21, 2015
2202 BUECHEL AVE STE 105, LOUISVILLE, KY 40218(502) 456-0494(502) 456-0496 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pearl Medical Practice Pllc NPPES

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

PEARL MEDICAL PRACTICE PLLC (NPI 1669841631) is a healthcare organization registered as a primary care in Louisville, Kentucky and active in the NPI registry since September 2015. The organization maintains 2 additional practice locations and lists Osawaru Jude Omoruyi, Owner, as its authorized official.

NPPES Registry Identity

NPI1669841631
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePEARL MEDICAL PRACTICE PLLC
Location Address2202 BUECHEL AVE STE 105Louisville, KY 40218-2672
Mailing AddressPo Box 35294Louisville, KY 40232-5294 · (502) 456-0494 · Fax (502) 456-0496
Phone(502) 456-0494
Fax(502) 456-0496
Organization SubpartNo
Authorized OfficialOsawaru Jude OmoruyiOwner · (502) 456-0494
Enumeration DateSeptember 21, 2015
Last NPPES UpdateJanuary 29, 2021
NPPES CertifiedJanuary 29, 2021
✔ NPI 1669841631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2202 BUECHEL AVE STE 105, Louisville, KY 40218
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12902 Bardstown Rd Ste DLouisville, KY 40205-3066 · Phone (502) 456-0494 · Fax (502) 465-0496
Location 26512 Baum DrKnoxville, TN 37919-7342 · Phone (502) 456-0494 · Fax (502) 456-0496

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 ›

Other Providers at the Same Location NPPES

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

PEARL GERIATRICS AND PALLIATIVE MEDICINE, PSC
Internal Medicine (Geriatric Medicine)
2202 BUECHEL AVE STE 105
LOUISVILLE, KY 40218
Jefferson County (502) 456-0494

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 Pearl Medical Practice PLLC's NPI number?

The NPI number for Pearl Medical Practice PLLC is 1669841631. It was assigned to this organization in the NPPES registry on September 21, 2015.

Where is Pearl Medical Practice PLLC located?

Pearl Medical Practice PLLC is located at 2202 Buechel Ave Ste 105, Louisville, KY 40218. The listed phone number is (502) 456-0494.

What is Pearl Medical Practice PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Pearl Medical Practice PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Pearl Medical Practice PLLC 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 Pearl Medical Practice PLLC was last updated on January 29, 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.