NPIMap

Individual provider Active NPI

Thomas Wayne Childress Jr., D.P.M

  • Podiatrist
  • Louisville, KY
National Provider Identifier
1013094978
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00209 Issued in KY
Practice address
6400 Dutchmans Pkwy Ste 215
Louisville, KY 40205-3343
Phone
(502) 721-8288
Fax
(502) 721-8792
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00209 KY Primary

Addresses

Primary practice location

6400 Dutchmans Pkwy Ste 215
Louisville, KY 40205-3343

Mailing address

6400 Dutchmans Pkwy Ste 215
Louisville, KY 40205-3343
Phone (502) 721-8288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040823000912 KY Practitioner - Podiatry 5991698060 Reassigns benefits to 2 organizations
I20231108000858 IN Practitioner - Podiatry 5991698060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Foot and Ankle Center LLCGroup PAC ID 4284726514, 6 clinicians

Practice addresses (Care Compare)

3 Audubon Plaza Dr
Suite 320
Louisville, KY 40217-1319
Phone (502) 893-1844

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
94.09 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue24
Removal of skin lesions47
Removal of nail tissue137
Removal or shaving of skin growth41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Doctors of Kentuckiana PLLC Current Accepting new patients
University Foot and Ankle Center LLC Podiatrist CurrentSince Oct 1, 2006 Accepting new patients
University Foot and Ankle Center LLC Podiatrist CurrentSince Oct 1, 2006 Accepting new patients
Advanced Foot & Ankle PLLC Podiatrist PastSince Jun 1, 2004 Accepting new patients

Locations

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

1263 Hospital Dr NW
Ste 100
Corydon, IN 47112
Phone (502) 888-1988

1802 Allison Ln
Jeffersonville, IN 47130
Phone (502) 893-1844

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

3 Audubon Plaza Dr
Ste 320
Louisville, KY 40217
Phone (502) 893-1844

Networks

  • KY PPO
  • KY PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: tchildress@ufaacl-ky.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1013094978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY STE 215",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053343",
            "telephone_number": "502-721-8288",
            "fax_number": "502-721-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY STE 215",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053343",
            "telephone_number": "502-721-8288",
            "fax_number": "502-721-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDRESS",
        "first_name": "THOMAS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.