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ADVANCED ENT AND ALLERGY PLLC
NPI 1780817502
Otolaryngology in Louisville, KY

Active since August 27, 2009
2944 BRECKENRIDGE LN, LOUISVILLE, KY 40220(502) 893-0159(502) 213-3893 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2024, Mar 28, 2023, Nov 15, 2022 and 9 more (12 updates tracked since 2017).

About Advanced Ent And Allergy Pllc NPPES

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

ADVANCED ENT AND ALLERGY PLLC (NPI 1780817502) is a healthcare organization registered as an otolaryngology in Louisville, Kentucky and active in the NPI registry since August 2009. The organization maintains 2 additional practice locations and lists Tatiana Sycheva-johnson, Chro, as its authorized official.

NPPES Registry Identity

NPI1780817502
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameADVANCED ENT AND ALLERGY PLLC
Location Address2944 BRECKENRIDGE LNLouisville, KY 40220-1409
Mailing Address2944 Breckenridge LnLouisville, KY 40220-1409 · (502) 893-0159 · Fax (502) 213-3843
Phone(502) 893-0159
Fax(502) 213-3893
Organization SubpartNo
Authorized OfficialTatiana Sycheva-johnsonChro · (404) 545-5166
Enumeration DateAugust 27, 2009
Last NPPES UpdateDecember 16, 202412 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1780817502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X
Also ListedAudiologistTaxonomy 231H00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
2944 BRECKENRIDGE LN, Louisville, KY 40220
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12944 Breckenridge LnLouisville, KY 40220-1409 · Phone (502) 893-0159 ext. 1188 · Fax (022) 133-8935
Location 2108 W Daisy LnNew Albany, IN 47150-4537 · Phone (812) 945-3557 · Fax (502) 213-3893

Other Identifiers 2

Medicaid200981820IN
Medicaid7100102680KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Ent And Allergy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

39

Medicare enrollment records show 39 clinicians reassign Medicare billing to Advanced Ent And Allergy PLLC, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 29 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Qualified Audiologist14
Otolaryngology12
Nurse Practitioner10
Allergy/Immunology2
Internal Medicine1

Nearest to this location (20)

See all 39
Emily Cullum
Qualified Audiologist
NPI 1073293171
2944 BRECKENRIDGE LN
Louisville, KY 40220
(502) 995-5525
✔ Accepts MedicareSame address
Lauren Dugan
Nurse Practitioner
NPI 1861257651
2944 BRECKENRIDGE LN
Louisville, KY 40220
(502) 995-5525
✔ PECOS✔ Accepts MedicareSame address
Kali Gerace, M.D.
Allergy/Immunology
NPI 1295964484
2944 BRECKENRIDGE LN
Louisville, KY 40220
(502) 893-0159
✔ PECOS✔ Accepts MedicareSame address
Andrew Gould, MD
Otolaryngology
NPI 1275539801
2944 BRECKENRIDGE LN
Louisville, KY 40220
(502) 893-0159
✔ PECOS✔ Accepts MedicareSame address
Johanna Harris, APRN
Nurse Practitioner
NPI 1285157255
2944 BRECKENRIDGE LN
Louisville, KY 40220
(502) 893-0159
✔ PECOS✔ Accepts MedicareSame address
Kristen Hilsher, AU.D.
Qualified Audiologist
NPI 1174811434
2944 BRECKENRIDGE LN
Louisville, KY 40220
(502) 893-0159
Same address
Kenneth Hodge, MD
Otolaryngology
NPI 1750388286
2944 BRECKENRIDGE LN
Louisville, KY 40220
(502) 893-0159
✔ PECOS✔ Accepts MedicareSame address
Zachary Mattingly, AUD
Qualified Audiologist
NPI 1518855014
2944 BRECKENRIDGE LN
Louisville, KY 40220
(502) 893-0159
✔ Accepts MedicareSame address
Steven Shotts, MD
Otolaryngology
NPI 1174529796
2944 BRECKENRIDGE LN
Louisville, KY 40220
(502) 893-0159
✔ PECOS✔ Accepts MedicareSame address
Aaron Smith, MD
Otolaryngology
NPI 1245673557
2944 BRECKENRIDGE LN
Louisville, KY 40220
(502) 893-0159
✔ PECOS✔ Accepts MedicareSame address
Mallory Swanson, DNP, FNP-C
Nurse Practitioner
NPI 1164204913
2944 BRECKENRIDGE LN
Louisville, KY 40220
(502) 995-5525
✔ PECOS✔ Accepts MedicareSame address
Matthew Yantis, M.D.
Otolaryngology
NPI 1558621912
2944 BRECKENRIDGE LN
Louisville, KY 40220
(502) 893-0159
✔ PECOS✔ Accepts MedicareSame address
Stephanie Anderson, MC CCC-A
Qualified Audiologist
NPI 1427106434
2944 BRECKENRIDGE LN
Louisville, KY 40220
(502) 893-0159
✔ Accepts MedicareSame address
Michelle Byerly, MS CCC-A
Qualified Audiologist
NPI 1467500595
2944 BRECKENRIDGE LN
Louisville, KY 40220
(502) 893-0159
✔ Accepts MedicareSame address
Alexander Emerson, MD
Allergy/Immunology
NPI 1699208421
2944 BRECKENRIDGE LN
Louisville, KY 40220
(502) 995-5525
✔ PECOS✔ Accepts MedicareSame address
Kathryn Hynes, MC, CCC-A, F-AAA
Qualified Audiologist
NPI 1790833705
2944 BRECKENRIDGE LN
Louisville, KY 40220
(502) 893-0159
✔ Accepts MedicareSame address
Asia Work, APRN
Nurse Practitioner
NPI 1316135684
2944 BRECKENRIDGE LN
Louisville, KY 40220
(502) 893-0159
✔ PECOS✔ Accepts MedicareSame address
Annette Wheeler, MAAUD
Qualified Audiologist
NPI 1700053196
6420 DUTCHMANS PKWY SUITE 380
Louisville, KY 40205
(502) 894-8441
✔ Accepts Medicare0.7 mi
Kendyl Sumner, APRN
Nurse Practitioner
NPI 1073275335
6400 DUTCHMANS PKWY STE 60
Louisville, KY 40205
(502) 780-6880
✔ PECOS✔ Accepts Medicare0.7 mi
Keith Forwith, MD
Otolaryngology
NPI 1467458083
4004 DUPONT CIR SUITE 220
Louisville, KY 40207
(502) 893-0159
✔ PECOS✔ Accepts Medicare0.8 mi
See all 39 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2120496

Advanced Ent & Allergy · New Albany, IN
Expired · Oct 17, 2026
CLIA Number15D2120496
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorVenkata V. Kakarlapudi
Laboratory Phone(812) 945-3557
Laboratory LocationAdvanced Ent & Allergy108 W Daisy Lane, New Albany, IN 47150
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Ent And Allergy PLLC's NPI number?

The NPI number for Advanced Ent And Allergy PLLC is 1780817502. It was assigned to this organization in the NPPES registry on August 27, 2009.

Where is Advanced Ent And Allergy PLLC located?

Advanced Ent And Allergy PLLC is located at 2944 Breckenridge Ln, Louisville, KY 40220. The listed phone number is (502) 893-0159.

What is Advanced Ent And Allergy PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Advanced Ent And Allergy PLLC enrolled in Medicare?

Yes. Advanced Ent And Allergy PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Ent And Allergy PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 5 Medicare specialties reassign their Medicare billing to Advanced Ent And Allergy PLLC. 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. The largest specialties are Qualified Audiologist (14), Otolaryngology (12) and Nurse Practitioner (10). Of these, 17 practice at this address and 29 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Ent And Allergy PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Advanced Ent And Allergy 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 Advanced Ent And Allergy PLLC was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.