Dr Ankur Datta, MD in Louisville, KY

Dr Ankur Datta, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Louisville, Kentucky. His current practice location is 4123 Dutchmans Ln Ste 606, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 896-2500.

Dr Ankur Datta is licensed to practice in Kentucky (license number 58279) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750553665.

Contact Information

	Dr Ankur Datta, MD
	4123 Dutchmans Ln Ste 606, Louisville, KY 40207-4725
	(502) 896-2500
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ankur Datta
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	4123 Dutchmans Ln Ste 606, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750553665
Provider Enumeration Date: 03/31/2008
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 9234358425
Enrollment ID: I20180925003932

Medical Identifiers

Medical identifiers for Dr Ankur Datta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750553665	NPI	-	NPPES
036.128019	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	036.128019 (Illinois)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	58279 (Kentucky)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ankur Datta allows following entities to bill medicare on his behalf.

Entity Name	Lurie Children's Medical Group Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518064716 PECOS PAC ID: 4789597279 Enrollment ID: O20031111000157

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ankur Datta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Ankur Datta, MD Po Box 776879, Chicago, IL 60677-2991 Ph: (502) 588-9490	Dr Ankur Datta, MD 4123 Dutchmans Ln Ste 606, Louisville, KY 40207-4725 Ph: (502) 896-2500

Reviews and Comments

Pediatrics Doctors in Louisville, KY

Dr. Kendra Stratton Cloyd, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3026 Poplar Level Rd, Louisville, KY 40217 Phone: 502-636-4929
Meredith Kay Irwin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mallard Creek Rd Ste 395, Louisville, KY 40207 Phone: 502-895-9421 Fax: 502-899-5762
Julia E Richerson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2215 Portland Ave, Louisville, KY 40212 Phone: 502-774-8631 Fax: 502-776-8912
Pradip D Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9702 Stonestreet Rd, Ste 100, Louisville, KY 40272 Phone: 502-588-0610 Fax: 502-588-0611
Patricia Gail Williams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 411 E Chestnut St, Louisville, KY 40202 Phone: 502-588-0850 Fax: 502-588-0861
Teresa Crase, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9880 Angies Way, Ste. 400, Louisville, KY 40241 Phone: 502-394-6500
Dr. Kenneth N Schikler, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 411 E Chestnut St # Street3, Louisville, KY 40202 Phone: 502-588-4910 Fax: 502-588-9554

Dr Ankur Datta, MD - Medicare Pediatrics in Louisville, KY