ROBERT DAVID VICHICH M.D. NPI 1780983569

NPI Information

  • NPI: 1780983569
  • Provider Name: ROBERT DAVID VICHICH, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 MALLARD CREEK RD
    SUITE 406
    LOUISVILLE, KY
    ZIP 40207
  • Phone: (502) 895-4607

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NPI Details

Robert David Vichich, M.D. is a general practice in Louisville, KY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Robert David Vichich, M.D. NPI is 1780983569. 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:

100 MALLARD CREEK RD
SUITE 406
LOUISVILLE, KY
ZIP 40207-194
Phone: (502) 895-4607
Fax: (502) 895-4586

The NPI 1780983569 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Critical care, each additional 30 minutes (HCPCS:99292)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)
  • Emergency department visit for problem of mild to moderate severity (HCPCS:99282)

The enumeration date for this NPI number is 3/20/2011 and was last updated on 9/3/2025.

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
1208D00000XGeneral PracticeC1-0024077DELAWARENo
2208D00000XGeneral PracticeMC-0725IDAHONo
3207P00000XEmergency Medicine37429OKLAHOMANo
4207P00000XEmergency Medicine01073793AINDIANANo
5208D00000XGeneral Practice84940SOUTH CAROLINANo
6208D00000XGeneral Practice20451NEVADANo
7208D00000XGeneral Practice30133WEST VIRGINIANo
8208D00000XGeneral Practice13120CWYOMINGNo
9208D00000XGeneral Practice28281MISSISSIPPINo
10207Q00000XFamily Medicine1038WISCONSINNo
11208D00000XGeneral PracticeDR.0065155COLORADONo
12208D00000XGeneral Practice46956KENTUCKYYes
13207P00000XEmergency MedicineME146686FLORIDANo
14208D00000XGeneral Practice12317SOUTH DAKOTANo
15208D00000XGeneral Practice25MA10949500NEW JERSEYNo

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: 11/21/2025

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