ADRIAN J PELLEGRINI (M.D.) – Psychiatry Physician, NPI 1063415099

ADRIAN J PELLEGRINI (M.D.) is a healthcare provider. based in Louisville, Kentucky. specializing in INTERNAL MEDICINE, PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 25430 (KY). The NPI Number for ADRIAN J PELLEGRINI (M.D.) is 1063415099

Main info

Male
Sole Proprietor
43 Years Of Experience
Accepts Medicare Assignment
Name
ADRIAN J PELLEGRINI (M.D.)
NPI
1063415099
Phone
(502) 899-9980
Address
4121 SHELBYVILLE RD STE 3
Enumeration Date
23 May 2005
Last Update Date
5 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8003852527
Graduation Year
1983 (43 years ago)
PAC ID
4486547247
Group Practice PAC ID
9234471426
Professional Enrollment ID
I20040205000291
Address ID
KY400499998NE515XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:21State licenses:2Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

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Provider Addresses for ADRIAN J PELLEGRINI (M.D.)

  • Shelbyville Road, Boston, Louisville, Jefferson County, Kentucky, 40245, United States of America

    LOUISVILLE, KY 402073205

    Phone: (502) 899-9980

    Fax: (502) 899-9981

    Type: Mailing

  • Baptist Health Louisville, 4000, Kresge Way, Springlee, Louisville, Jefferson County, Kentucky, 40207, United States of America

    STE 224

    LOUISVILLE, KY 402074652

    Phone: (502) 899-9980

    Fax: (502) 899-9981

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2023-07-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($88).

Total Amount

$88

General + Research + Ownership

Payments

1

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040205000291IInternal MedicineKYTBD
I20220420000674IInternal MedicineINTBD
I20230825000582IPsychiatryMITBD
I20230912003024IPsychiatryOHTBD
I20251021001982IPsychiatryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes7011$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 40207)

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Provider's Procedures

ADRIAN J PELLEGRINI (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEKY90792Psychiatric diagnostic evaluation with medical services540531

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234471426View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerOR
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
Clinical Social WorkerKY
-KY

Reviews

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Frequently asked questions

What is ADRIAN J PELLEGRINI (M.D.)'s NPI number?
ADRIAN J PELLEGRINI (M.D.)'s NPI is 1063415099 — the number used across U.S. healthcare to identify this provider.
Is ADRIAN J PELLEGRINI (M.D.) shown as active in public data?
Registry records indicate ADRIAN J PELLEGRINI (M.D.) maintains an active NPI.
What expertise is attributed to ADRIAN J PELLEGRINI (M.D.)?
ADRIAN J PELLEGRINI (M.D.)'s specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is ADRIAN J PELLEGRINI (M.D.) located near Louisville?
ADRIAN J PELLEGRINI (M.D.) currently maps to Louisville, Kentucky in this extract.
When was this NPI issued?
Enumeration for ADRIAN J PELLEGRINI (M.D.) is noted as May 23, 2005 where the registry provides it.