SOUTHEND GASTROENTEROLOGY ASSOCIATES PLLC
NPI 1932438272
Internal Medicine - Gastroenterology in Louisville, KY

Active since December 16, 2009
4402 CHURCHMAN AVE, STE 408, LOUISVILLE, KY 40215(502) 365-5140 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 17, 2019, Apr 21, 2017, Oct 24, 2016 (3 updates tracked since 2016).

About Southend Gastroenterology Associates Pllc NPPES

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

SOUTHEND GASTROENTEROLOGY ASSOCIATES PLLC (NPI 1932438272) is a healthcare organization registered as a gastroenterology in Louisville, Kentucky and active in the NPI registry since December 2009. The organization lists Sanjay K Jain, Owner, as its authorized official.

NPPES Registry Identity

NPI1932438272
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSOUTHEND GASTROENTEROLOGY ASSOCIATES PLLC
Location Address4402 CHURCHMAN AVE, STE 408Louisville, KY 40215-1190
Mailing Address2503 Bush Ridge Dr, ALouisville, KY 40245-5885 · (502) 819-4000
Organization SubpartNo
Authorized OfficialSanjay K JainOwner · (502) 891-4000
Enumeration DateDecember 16, 2009
Last NPPES UpdateMay 17, 20193 updates tracked since enumeration
✔ NPI 1932438272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4402 CHURCHMAN AVE, Louisville, KY 40215

Other Identifiers 5

Medicaid201118680IN
Other000000644156Anthem
Medicaid7100101260KY
Other7956992Aetna
Other50027327KY · Passport

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southend Gastroenterology Associates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Southend Gastroenterology Associates PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Gastroenterology
NPI 1578504817
4402 CHURCHMAN AVE STE 201
Louisville, KY 40215
(502) 416-0207
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043575749
4402 CHURCHMAN AVE STE 410
Louisville, KY 40215
(502) 367-6322
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932536505
4402 CHURCHMAN AVE SUITE 408
Louisville, KY 40215
(502) 365-5140
✔ PECOS✔ Accepts MedicareSame address

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

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 Southend Gastroenterology Associates PLLC's NPI number?

The NPI number for Southend Gastroenterology Associates PLLC is 1932438272. It was assigned to this organization in the NPPES registry on December 16, 2009.

Where is Southend Gastroenterology Associates PLLC located?

Southend Gastroenterology Associates PLLC is located at 4402 Churchman Ave Ste 408, Louisville, KY 40215. The listed phone number is (502) 365-5140.

What is Southend Gastroenterology Associates PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Southend Gastroenterology Associates PLLC enrolled in Medicare?

Yes. Southend Gastroenterology Associates PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southend Gastroenterology Associates PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southend Gastroenterology Associates PLLC, in Gastroenterology and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southend Gastroenterology Associates PLLC accept?

Health plans from CareSource list Southend Gastroenterology Associates 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 Southend Gastroenterology Associates PLLC was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.