Pearl Medical Practice PLLC
NPI 1114261203 · Primary Care Clinic/Center · Louisville, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pearl Medical Practice PLLC is a Primary Care Clinic/Center organization in Louisville, KY (NPI 1114261203).
Provider details
- NPI number
- 1114261203
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Osawaru Omoruyi, President(502) 456-0494
Specialties & taxonomies
Ambulatory Health Care Facilities
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Adult Health Nurse Practitioner363LA2200X
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2015-10-02
Frequently asked questions
- What is Pearl Medical Practice PLLC's NPI number?
- Pearl Medical Practice PLLC's National Provider Identifier (NPI) is 1114261203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pearl Medical Practice PLLC?
- Pearl Medical Practice PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pearl Medical Practice PLLC located?
- Pearl Medical Practice PLLC's practice location on file with NPPES is 4200 Gardiner View Ave, Louisville, KY 40213-1877.
- What is Pearl Medical Practice PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pearl Medical Practice PLLC is (502) 456-0494.
- Does Pearl Medical Practice PLLC accept Medicare?
- Pearl Medical Practice PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pearl Medical Practice PLLC?
- The authorized official listed on Pearl Medical Practice PLLC's NPPES record is Osawaru Omoruyi, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pearl Medical Practice PLLC's NPI active?
- Yes — Pearl Medical Practice PLLC's NPI (1114261203) is active in the NPPES registry as of the last update on 2015-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.