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CHAD A WIESENAUER M.D.
NPI 1861616732
Surgery - Pediatric Surgery in Louisville, KY

Active since April 12, 2007PECOS Enrolled
234 E GRAY ST, LOUISVILLE, KY 40202(502) 583-7337(502) 584-5437 Get Directions Write a Review

NPPES record last updated: October 9, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Chad A Wiesenauer M.d. NPPES

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

CHAD A WIESENAUER M.D. (NPI 1861616732) is an individual pediatric surgery provider in Louisville, Kentucky, licensed in Indiana (01053500A) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1861616732
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameCHAD A WIESENAUERCredential: M.D.
Location Address234 E GRAY STLouisville, KY 40202-1900
Mailing Address234 E Gray StLouisville, KY 40202-1900 · (502) 588-0390 · Fax (502) 584-5437
Phone(502) 583-7337
Fax(502) 584-5437
Sole ProprietorYes
Enumeration DateApril 12, 2007
Last NPPES UpdateOctober 9, 2017
✔ NPI 1861616732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in IN · 01053500A
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
234 E GRAY ST, Louisville, KY 40202
Open in Google Maps ↗

Secondary Practice Location 1

Location 1234 E Gray StLouisville, KY 40202-1900 · Phone (502) 583-7337 · Fax (502) 584-5437

Other Identifiers 2

Other01053500AIN · State License Number
Medicaid7100008600KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Chad A Wiesenauer M.d. 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 Chad Wiesenauer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Vincent Pediatric Subspecialties
98 mi
Pediatric Critical Care Medicine
3700 WASHINGTON AVE
Evansville, IN 47714
  • Reassigned Medicare billing, Indiana enrollment
  • 294 clinicians in this Medicare group
NPI 1851950224 (812) 485-4000

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
89%64 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION
Orthopaedic Surgery
234 E GRAY ST, SUITE 564
LOUISVILLE, KY 40202
Jefferson County (502) 629-5460
JOHN JOSEPH GUARNASCHELLI MD
Neurological Surgery
234 E GRAY ST, SUITE 768
LOUISVILLE, KY 40202
Jefferson County (502) 584-4121
NORTON HOSPITALS INC
General Acute Care Hospital
234 E GRAY ST, STE 225
LOUISVILLE, KY 40202
Jefferson County (502) 629-8000
AMERICAN HOME DIALYSIS, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
234 E GRAY ST, SUITE 858
LOUISVILLE, KY 40202
Jefferson County (513) 673-5245
UNIVERSITY OF LOUISVILLE PHYSICIANS, INC.
Pediatrics (Pediatric Pulmonology)
234 E GRAY ST, SUITE 270
LOUISVILLE, KY 40202
Jefferson County (502) 629-8830
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION INC.
Orthopaedic Surgery
234 E GRAY ST, SUITE 564
LOUISVILLE, KY 40202
Jefferson County (502) 629-5460
ANTHONY J. CASALE M.D.
Specialist
234 E GRAY ST, SUITE 662
LOUISVILLE, KY 40202
Jefferson County (502) 629-4220
DAVID R RAPER M.D.
General Practice
234 E GRAY ST, STE 334-B
LOUISVILLE, KY 40202
Jefferson County (502) 629-1750

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 Chad Wiesenauer's NPI number?

The NPI number for Chad Wiesenauer is 1861616732. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Chad Wiesenauer located?

Chad Wiesenauer practices at 234 E Gray St, Louisville, KY 40202. The listed phone number is (502) 583-7337.

What is Chad Wiesenauer's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Chad Wiesenauer enrolled in Medicare?

Yes. Chad Wiesenauer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chad Wiesenauer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chad Wiesenauer reassigns Medicare benefits to St Vincent Pediatric Subspecialties (Evansville, IN). The 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 Chad Wiesenauer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chad Wiesenauer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Chad Wiesenauer 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 Chad Wiesenauer was last updated on October 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.