BLUEGRASS ALLERGY ASTHMA AND IMMUNOLOGY PSC
NPI 1669984209
Internal Medicine - Allergy & Immunology in Louisville, KY

Q: What is Bluegrass Allergy Asthma And Immunology Psc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

Active since November 03, 2017

11900 PLANTSIDE DR STE 9, LOUISVILLE, KY 40299(502) 267-0556(502) 267-1715 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2018, Jun 16, 2018, Mar 16, 2018 and 1 more (4 updates tracked since 2017).

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About Bluegrass Allergy Asthma And Immunology Psc NPPES

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

BLUEGRASS ALLERGY ASTHMA AND IMMUNOLOGY PSC (NPI 1669984209) is a healthcare organization registered as an allergy & immunology in Louisville, Kentucky and active in the NPI registry since November 2017. The organization lists Frank Tolis Simon, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1669984209

Entity TypeOrganization

Primary Taxonomy207RA0201X

Legal Business NameBLUEGRASS ALLERGY ASTHMA AND IMMUNOLOGY PSC

Location Address11900 PLANTSIDE DR STE 9Louisville, KY 40299

Mailing AddressPo Box 206578Louisville, KY 40250-6578 · (812) 218-8926 · Fax (812) 218-8930

Phone(502) 267-0556

Fax(502) 267-1715

Organization SubpartNo

Authorized OfficialFrank Tolis SimonMd/owner · (502) 386-4710

Enumeration DateNovember 3, 2017

Last NPPES UpdateJuly 10, 20184 updates tracked since enumeration

✔ NPI 1669984209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Allergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207RA0201X

License✔ Licensed in KY · 34409

Definition

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

11900 PLANTSIDE DR STE 9, Louisville, KY 40299

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bluegrass Allergy Asthma And Immunology Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bluegrass Allergy Asthma And Immunology Psc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Frank Simon, MD

Allergy/Immunology

NPI 1407852221

2215 PORTLAND AVE
Louisville, KY 40212

(502) 774-8631

✔ PECOS✔ Accepts Medicare14 mi

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 Bluegrass Allergy Asthma And Immunology Psc's NPI number?

The NPI number for Bluegrass Allergy Asthma And Immunology Psc is 1669984209. It was assigned to this organization in the NPPES registry on November 3, 2017.

Where is Bluegrass Allergy Asthma And Immunology Psc located?

Bluegrass Allergy Asthma And Immunology Psc is located at 11900 Plantside Dr Ste 9, Louisville, KY 40299. The listed phone number is (502) 267-0556.

What is Bluegrass Allergy Asthma And Immunology Psc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Allergy & Immunology, with taxonomy code 207RA0201X.

Is Bluegrass Allergy Asthma And Immunology Psc enrolled in Medicare?

Yes. Bluegrass Allergy Asthma And Immunology Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bluegrass Allergy Asthma And Immunology Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Allergy/Immunology) reassigns their Medicare billing to Bluegrass Allergy Asthma And Immunology 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bluegrass Allergy Asthma And Immunology Psc was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.