PETER HEDERA MD NPI 1518041615

NPI Information

NPI: 1518041615
Provider Name: PETER HEDERA, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: UNIVERSITY OF LOUISVILLE PHYSICIANS, INC

PECOS Registration: Yes

Address:
220 ABRAHAM FLEXNER WAY FL 6
LOUISVILLE, KY
ZIP 40202
Phone: (502) 582-7654
Get Directions

Peter Hedera, MD is a neurology psychiatry neurology in Louisville, KY with 37 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Peter Hedera, MD NPI is 1518041615. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

220 ABRAHAM FLEXNER WAY FL 6
LOUISVILLE, KY
ZIP 40202-826
Phone: (502) 582-7654
Fax: (502) 588-7563

The NPI 1518041615 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 11/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207T00000X	Neurological Surgery		MD36171	TENNESSEE	No
2	2084N0400X	Psychiatry & Neurology	Neurology	53689	KENTUCKY	Yes
3	2084N0400X	Psychiatry & Neurology	Neurology	MD36171	TENNESSEE	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	64048853	MEDICAID	KENTUCKY
2	300039258	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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