DR. MICHELLE EILEEN ELISBURG MD
NPI 1679572309
Pediatrics in Louisville, KY

Q: What is Michelle Elisburg's NPI number?

The NPI number for Michelle Elisburg is 1679572309. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Q: What is Michelle Elisburg's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Elisburg was last updated on April 13, 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.

Active since July 15, 2005PECOS Enrolled

2215 PORTLAND AVE, LOUISVILLE, KY 40212(502) 774-8631(502) 776-8912 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Michelle Eileen Elisburg Md NPPES

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

DR. MICHELLE EILEEN ELISBURG MD (NPI 1679572309) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (39801) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679572309

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MICHELLE EILEEN ELISBURGCredential: MD

Location Address2215 PORTLAND AVELouisville, KY 40212-1033

Mailing AddressPo Box 950244Louisville, KY 40295-0244 · (502) 953-4700 · Fax (502) 776-8912

Phone(502) 774-8631

Fax(502) 776-8912

Sole ProprietorNo

Enumeration DateJuly 15, 2005

Last NPPES UpdateApril 13, 2021

NPPES CertifiedApril 13, 2021

✔ NPI 1679572309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in KY · 39801

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2215 PORTLAND AVE, Louisville, KY 40212

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Other Identifiers 1

Medicaid64114457KY

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michelle Eileen Elisburg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Michelle Elisburg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Health Centers, Inc.

Same address

Federally Qualified Health Center (FQHC)

2215 PORTLAND AVE
Louisville, KY 40212

Reassigned Medicare billing, Kentucky enrollment
69 clinicians in this Medicare group

NPI 1518963230 (502) 774-8631

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40212 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.

JAIVANTI LOHANO MD

Family Medicine