NPIMap

Individual provider Active NPI

Vipul Ramanbhai Patel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Shepherdsville, KY
National Provider Identifier
1013005412
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00331 Issued in KY
Practice address
421 Adam Shepherd Pkwy
Suite 100
Shepherdsville, KY 40165-6640
Phone
(502) 543-1553
Fax
(502) 543-1558
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00331 KY
Foot & Ankle Surgery Podiatrist 213ES0103X 00331 KY Primary
Radiology Podiatrist 213ER0200X 00331 KY

Addresses

Primary practice location

421 Adam Shepherd Pkwy
Suite 100
Shepherdsville, KY 40165-6640

Mailing address

421 Adam Shepherd Pkwy
Suite 100
Shepherdsville, KY 40165-6640
Phone (502) 543-1553

Other identifiers 5

IdentifierTypeStateIssuer
000000783180OtherKYANTHEM
7100059570MedicaidKY
9673151OtherKYAETNA
50043984OtherKYPASSPORT
P01098974OtherKYRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080618000681 KY Practitioner - Podiatry 8921179904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

421 Adam Shepherd Pkwy
Suite 100
Shepherdsville, KY 40165-6640
Phone (502) 543-1553

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue450
Removal or shaving of skin growth36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00331KYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bullitt County Foot and Ankle Center Podiatrist CurrentSince Oct 1, 2012 Accepting new patients
Bullitt County Foot and Ankle Center Podiatrist CurrentSince May 7, 2012 Accepting new patients

Locations

2401 Terra Crossing Blvd
Ste 407
Louisville, KY 40245
Phone (502) 210-4407

421 Adam Shepherd Pkwy
#100
Shepherdsvlle, KY 40165
Phone (502) 543-1553

Networks

  • KY PPO
  • KY PPO C-SNP

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1013005412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 ADAM SHEPHERD PKWY",
            "address_2": "SUITE 100",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656640",
            "telephone_number": "502-543-1553",
            "fax_number": "502-543-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 ADAM SHEPHERD PKWY",
            "address_2": "SUITE 100",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656640",
            "telephone_number": "502-543-1553",
            "fax_number": "502-543-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIPUL",
        "middle_name": "RAMANBHAI",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00331",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "00331",
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "KY",
            "license": "00331",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000783180",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100059570",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9673151",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50043984",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01098974",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

Verify at the official NPI Registry.