DR. PHILLIP ALBERT CETINA DO
NPI 1679151153
Internal Medicine in Louisville, KY

Q: What is Phillip Cetina's NPI number?

The NPI number for Phillip Cetina is 1679151153. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Q: What is Phillip Cetina's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Phillip Cetina was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment

200 E CHESTNUT ST BLDG SUITE303, LOUISVILLE, KY 40202(502) 629-5552 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 12, 2024, Feb 4, 2023, Mar 29, 2021 (3 updates tracked since 2021).

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About Dr. Phillip Albert Cetina Do NPPES

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

DR. PHILLIP ALBERT CETINA DO (NPI 1679151153) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (05848) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Liberty Univ College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1679151153

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. PHILLIP ALBERT CETINACredential: DO

Location Address200 E CHESTNUT ST BLDG SUITE303Louisville, KY 40202-1831

Mailing Address550 S Jackson St Fl Street3Louisville, KY 40202-1622 · (502) 852-5666

Phone(502) 629-5552

Sole ProprietorNo

Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2021

Enumeration DateMarch 29, 2021

Last NPPES UpdateJuly 12, 20243 updates tracked since enumeration

NPPES CertifiedJuly 12, 2024

✔ NPI 1679151153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · 05848

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License R6172 (KY)

200 E CHESTNUT ST BLDG SUITE303, Louisville, KY 40202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Phillip Albert Cetina Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709222466

PECOS Enrollment IDI20240829002299

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Phillip Cetina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medical Associates, Inc.

1.8 mi

Family Medicine

720 W HILL ST
Louisville, KY 40208

Reassigned Medicare billing, Kentucky enrollment
1,896 clinicians in this Medicare group

NPI 1245312503 (502) 636-3164

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

167 services66 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

67 services67 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

65 services64 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

27 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. UCHENNA LORETTA OZOR M.D

Internal Medicine