Doctor profile · Federal record
Dr. Mary Fallat, M.D.
Pediatric Surgery Physician · Louisville, KY
- NPI 1124025127
- MIPS 100.0 / 100 · 2023
- 21 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
234 E Gray St, Ste 766
Louisville, KY 402021901
(502) 588-0390
fax (502) 584-5437 - Mailing address
-
Po Box 909
Louisville, KY 402010909
Credentials & registration
- NPI registered
- July 2005 — 21 yrs on file
- Profile last updated
- October 14, 2020
- Specialty taxonomy
- 2086S0120X — NUCC code
- State license (1)
- Kentucky #21050
- Medicaid (2)
- KY #64210503 · IN #100330770
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1124025127. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$138
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Davol INC. | 1 | $138.01 |
By nature of payment
Frequently asked questions
What is Dr. Mary Fallat's medical specialty?
Dr. Mary Fallat practices Pediatric Surgery Physician in Louisville, KY.
Where does Dr. Mary Fallat practice?
Dr. Mary Fallat practices at 234 E Gray St, Louisville, KY 402021901. Office phone: 5025880390.
What is Dr. Mary Fallat's NPI?
Dr. Mary Fallat's National Provider Identifier (NPI) is 1124025127, issued by NPPES.