NPIMap

Individual provider Active NPI

Melissa Ann Dorsett, DPM

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
National Provider Identifier
1013096288
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
233 Issued in KY
Practice address
3430 Newburg Rd
Ste 153
Louisville, KY 40218
Phone
(502) 459-8127
Fax
(502) 459-8620
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 233 KY Primary

Addresses

Primary practice location

3430 Newburg Rd
Ste 153
Louisville, KY 40218

Mailing address

3430 Newburg Rd
Ste 153
Louisville, KY 40218
Phone (502) 459-8127

Other identifiers 1

IdentifierTypeStateIssuer
80002330MedicaidKY

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
I20050824000103 KY Practitioner - Podiatry 9638100365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Foot and Ankle PLLCGroup PAC ID 4587695200, 2 clinicians

Practice addresses (Care Compare)

10112 Taylorsville Rd
Louisville, KY 40299-3623
Phone (502) 549-8127

3430 Newburg Rd
Suite 153
Louisville, KY 40218-5405
Phone (502) 459-8127

Hospital & facility affiliations

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue35
Removal of skin lesions25
Removal of nail tissue558
Removal or shaving of skin growth31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
233KYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot & Ankle PLLC Foot & Ankle Surgery CurrentSince Apr 1, 2005 Accepting new patients

Locations

3430 Newburg Rd
Ste 153
Louisville, KY 40218
Phone (502) 459-8127

10112 Taylorsville Rd
Louisville, KY 40299
Phone (502) 267-1411

Organizations & group practices 1

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1013096288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 NEWBURG RD",
            "address_2": "STE 153",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40218",
            "telephone_number": "502-459-8127",
            "fax_number": "502-459-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 NEWBURG RD",
            "address_2": "STE 153",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40218",
            "telephone_number": "502-459-8127",
            "fax_number": "502-459-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSETT",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80002330",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.