Carolyn Mallillin, MD
NPI 1194719971 · Family Medicine Physician · Louisville, KY
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carolyn Mallillin, MD is a Family Medicine Physician provider in Louisville, KY (NPI 1194719971).
Provider details
- NPI number
- 1194719971
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 45207 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1500 N Westwood BlvdPoplar Bluff, MO 63901-3318Phone: (573) 686-4151
Registry dates
- Enumerated
- 2005-09-07
- Last updated
- 2021-01-14
- Certified
- 2021-01-14
Frequently asked questions
- What is Carolyn Mallillin's NPI number?
- Carolyn Mallillin's National Provider Identifier (NPI) is 1194719971, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carolyn Mallillin's specialty?
- Carolyn Mallillin is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Carolyn Mallillin located?
- Carolyn Mallillin's practice location on file with NPPES is 1900 Bluegrass Ave Ste 300, Louisville, KY 40215-1183.
- What is Carolyn Mallillin's phone number?
- The practice phone number listed in the NPPES registry for Carolyn Mallillin is (502) 361-1222.
- Does Carolyn Mallillin accept Medicare?
- Carolyn Mallillin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carolyn Mallillin's NPI active?
- Yes — Carolyn Mallillin's NPI (1194719971) is active in the NPPES registry as of the last update on 2021-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.