Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OLIVIA STANFORTH
NPI 1679274542
Emergency Medicine in Louisville, KY

Active since March 16, 2023PECOS Enrolled
530 S JACKSON ST, LOUISVILLE, KY 40202(502) 562-3000 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2026, Mar 16, 2023 (2 updates tracked since 2023).

About Olivia Stanforth NPPES

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

OLIVIA STANFORTH (NPI 1679274542) is an individual emergency medicine provider in Louisville, Kentucky, licensed in Kentucky (62346) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Wright State University Boonshoft School Of Medicine (2024).

NPPES Registry Identity

NPI1679274542
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameOLIVIA STANFORTH
Location Address530 S JACKSON STLouisville, KY 40202-1675
Mailing Address530 S Jackson StLouisville, KY 40202-1675 · (937) 775-3323
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2024
Enumeration DateMarch 16, 2023
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
NPI 1679274542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in KY · 62346
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
530 S JACKSON ST, Louisville, KY 40202

Secondary Practice Locations 2

Location 14900 Houston RdFlorence, KY 41042-4824 · Phone (859) 212-5441
Location 21 Medical Village DrEdgewood, KY 41017-3403 · Phone (859) 301-2250

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Olivia Stanforth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062912611
PECOS Enrollment IDI20260212002533
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.

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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
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.

Anesthesiology
530 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Practitioner (Acute Care)
530 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
530 S JACKSON ST
LOUISVILLE, KY 40202
Radiology (Vascular & Interventional Radiology)
530 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
530 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Practitioner (Psychiatric/Mental Health)
530 S JACKSON ST
LOUISVILLE, KY 40202
Student in an Organized Health Care Education/Training Program
530 S JACKSON ST
LOUISVILLE, KY 40202
Student in an Organized Health Care Education/Training Program
530 S JACKSON ST
LOUISVILLE, KY 40202

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 Olivia Stanforth's NPI number?

The NPI number for Olivia Stanforth is 1679274542. It was assigned to this individual provider in the NPPES registry on March 16, 2023.

Where is Olivia Stanforth located?

Olivia Stanforth practices at 530 S Jackson St, Louisville, KY 40202. The listed phone number is (502) 562-3000.

What is Olivia Stanforth's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Olivia Stanforth enrolled in Medicare?

Yes. Olivia Stanforth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olivia Stanforth was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.