Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JOHN DICKENS MD, MBA
NPI 1902463706
Emergency Medicine in Louisville, KY

Active since May 28, 2019PECOS Enrolled
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217(502) 636-7225(502) 636-8032 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. John Dickens Md, Mba NPPES

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

DR. JOHN DICKENS MD, MBA (NPI 1902463706) is an individual emergency medicine provider in Louisville, Kentucky, licensed in Kentucky (61631) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1902463706
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOHN DICKENSCredential: MD, MBA
Location Address1 AUDUBON PLAZA DRLouisville, KY 40217-1318
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Fax(502) 636-8032
Sole ProprietorNo
Enumeration DateMay 28, 2019
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
NPI 1902463706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in KY · 61631 Licensed in IL · 125.080446
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.

1 AUDUBON PLAZA DR, Louisville, KY 40217

Secondary Practice Location 1

Location 1251 E Huron StChicago, IL 60611-2908 · Phone (312) 926-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. John Dickens Md, Mba 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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.

Nurse Anesthetist, Certified Registered
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Nurse Anesthetist, Certified Registered
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Anesthesiology
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Anesthesiology
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902463706, enumerated as an "individual" on May 28, 2019.

The provider is located at 1 AUDUBON PLAZA DR LOUISVILLE, KY 40217 and the phone number is (502) 636-7225.

Emergency Medicine with taxonomy code 207P00000X.