WILLIAM G CHEADLE (MD) – Surgical Critical Care Physician, NPI 1427037076

WILLIAM G CHEADLE (MD) is a healthcare provider. based in Louisville, Kentucky. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 21560 (KY). The NPI Number for WILLIAM G CHEADLE (MD) is 1427037076

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM G CHEADLE (MD)
NPI
1427037076
Phone
(502) 588-0329
Address
PO BOX 909
Enumeration Date
12 January 2006
Last Update Date
10 August 2016

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1980 (46 years ago)
PAC ID
0143319830
Group Practice PAC ID
3476725599
Professional Enrollment ID
I20071204000007
Address ID
KY402025700LO401XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

539 GENERAL SURGERY in KY

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Provider Addresses for WILLIAM G CHEADLE (MD)

  • 909, Fountain Avenue, Louisville, Jefferson County, Kentucky, 40222, United States

    LOUISVILLE, KY 402010909

    Phone: (502) 588-0329

    Fax: (502) 588-0326

    Type: Mailing

  • UofL Physicians Outpatient Center, 401, East Chestnut Street, Louisville, Jefferson County, Kentucky, 40202, United States

    SUITE 710

    LOUISVILLE, KY 402025700

    Phone: (502) 583-8303

    Fax: (502) 584-0302

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $1,584.

Total Amount is formed as General ($1,584) + Research ($0) + Ownership ($0) = $1,584.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($342).

Total Amount

$1,584

General + Research + Ownership

Payments

33

Total payment records

General Amount

$1,584

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2007-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20071204000007IGeneral SurgeryKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40201)

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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: 3476725599View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Diagnostic RadiologyVA
Diagnostic RadiologyKY
-KY
-KY
Certified Registered Nurse Anesthetist (Crna)TN
O P H T H A L M O L O G YKY
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

Can I verify WILLIAM G CHEADLE (MD) with an NPI only?
You can start verification with NPI 1427037076 for WILLIAM G CHEADLE (MD), then check state licensing separately.
Is WILLIAM G CHEADLE (MD) still practicing?
WILLIAM G CHEADLE (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes WILLIAM G CHEADLE (MD)?
For research purposes, treat WILLIAM G CHEADLE (MD) as Surgical Critical Care Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is WILLIAM G CHEADLE (MD) based?
WILLIAM G CHEADLE (MD) is tied to Louisville, Kentucky in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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