Commonwealth of Kentucky
NPI 1114346467 · Multi-Specialty Clinic/Center · Louisville, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Commonwealth of Kentucky is a Multi-Specialty Clinic/Center organization in Louisville, KY (NPI 1114346467).
Provider details
- NPI number
- 1114346467
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Commonwealth of Kentucky
- Organization subpart
- Yes
- Authorized official
- Jennifer Moore, Assistant Director(502) 782-6117
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Other names (DBA / former)
- Other name
- Hazelwood Specialty Clinic
- Doing business as
- Hazelwood Specialty Clinic
- Other name
- Hazelwood Specialty Clinic
Registry dates
- Enumerated
- 2014-04-15
- Last updated
- 2024-08-07
- Certified
- 2024-08-07
Frequently asked questions
- What is Commonwealth of Kentucky's NPI number?
- Commonwealth of Kentucky's National Provider Identifier (NPI) is 1114346467, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Commonwealth of Kentucky?
- Commonwealth of Kentucky is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Commonwealth of Kentucky located?
- Commonwealth of Kentucky's practice location on file with NPPES is 1800 Bluegrass Ave, Louisville, KY 40215-1130.
- What is Commonwealth of Kentucky's phone number?
- The practice phone number listed in the NPPES registry for Commonwealth of Kentucky is (502) 361-2301.
- Does Commonwealth of Kentucky accept Medicare?
- Commonwealth of Kentucky 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 Commonwealth of Kentucky?
- The authorized official listed on Commonwealth of Kentucky's NPPES record is Jennifer Moore, Assistant Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Commonwealth of Kentucky's NPI active?
- Yes — Commonwealth of Kentucky's NPI (1114346467) is active in the NPPES registry as of the last update on 2024-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.