Kentucky/Indiana Foot and Ankle Specialist – Foot & Ankle Surgery Podiatrist, NPI 1114177979
Foot & Ankle Surgery Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Kentucky/Indiana Foot and Ankle Specialist
2818, Grant Line Road, New Albany, Floyd County, Indiana, 47150, United States
NEW ALBANY, IN 471502492
Phone: (812) 725-7542
Fax: (812) 725-7543
Type: Location
106, West Main Street, Louisville, Jefferson County, Kentucky, 40202, United States
LOUISVILLE, KY 402022696
Phone: (502) 804-4811
Type: Mailing
7397 JEFFERSON BLVD
LOUISVILLE, KY 402196178
Phone: (614) 446-8175
Fax: (614) 665-7624
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (614 days ago).
Enrollment records
3
Earliest due date
2024-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20081027000074 | O | Clinic/Group Practice | IN | TBD |
| O20081211000479 | O | Clinic/Group Practice | KY | TBD |
| O20100930031259 | O | Physician - Podiatry | IN | 2024-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47150)
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