INFECTIOUS DISEASE SPECIALISTS LLC – Infectious Disease Physician, NPI 1023603073
Infectious Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for INFECTIOUS DISEASE SPECIALISTS LLC
PO BOX 631256
CINCINNATI, OH 452631256
Phone: (502) 916-3129
Fax: (502) 916-3229
Type: Mailing
1313 SAINT ANTHONY PL
LOUISVILLE, KY 402041740
Phone: (502) 916-3130
Type: Location
PO BOX 249
EASTWOOD, KY 400180249
Phone: (502) 916-3130
Fax: (502) 916-3230
Type: Mailing
1220 Missouri Ave
Jeffersonville, IN 471303725
Phone: (502) 916-3130
Type: Location
205 LOCUST CREEK BLVD
LOUISVILLE, KY 402456203
Phone: (502) 916-3130
Fax: (502) 916-3230
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-03-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-03-31 (73 days ago).
Enrollment records
2
Earliest due date
2026-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20210316001989 | O | Clinic/Group Practice | IN | 2026-03-31 |
| O20210318001093 | O | Clinic/Group Practice | KY | 2026-04-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 45263)
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