ADDISON SEARS DO
NPI 1922896802
Student in an Organized Health Care Education/Training Program in Louisville, KY

Q: What is Addison Sears's NPI number?

The NPI number for Addison Sears is 1922896802. It was assigned to this individual provider in the NPPES registry on April 29, 2025.

Q: What is Addison Sears's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Addison Sears was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since April 29, 2025PECOS Enrolled

4402 CHURCHMAN AVE STE 306, LOUISVILLE, KY 40215(502) 852-1806 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Addison Sears Do NPPES

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

ADDISON SEARS DO (NPI 1922896802) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922896802

Entity TypeIndividual

Primary Taxonomy390200000X

Provider Legal NameADDISON SEARSCredential: DO

Location Address4402 CHURCHMAN AVE STE 306Louisville, KY 40215-3101

Mailing Address4402 Churchman Ave Ste 306Louisville, KY 40215-3101 · (502) 852-1806

Phone(502) 852-1806

Sole ProprietorYes

Enumeration DateApril 29, 2025

NPPES CertifiedApril 29, 2025

✔ NPI 1922896802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4402 CHURCHMAN AVE STE 306, Louisville, KY 40215

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Addison Sears Do 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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROHAN TYAGI

Student in an Organized Health Care Education/Training Program