Individual provider Active NPI

Andrew R Bouwkamp, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mt Sterling, KY
National Provider Identifier
1013438746
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
244105 Issued in KY
Practice address
624 Maysville Rd
Mt Sterling, KY 40353-9767
Phone
(859) 497-4144
Fax
(859) 498-4137
NPI assigned
Jul 3, 2017
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07001408A IN
Podiatrist 213E00000X 244105 KY
Foot & Ankle Surgery Podiatrist 213ES0103X 244105 KY Primary

Addresses

Primary practice location

624 Maysville Rd
Mt Sterling, KY 40353-9767

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Other practice location 1

3901 Dutchmans Ln Ste 104
Louisville, KY 40207-4726
Phone (502) 496-4914

Other identifiers 1

IdentifierTypeStateIssuer
7100677120MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200715002418 KY Practitioner - Podiatry 5294159893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

624 Maysville Rd
Mt Sterling, KY 40353-9767
Phone (859) 497-4144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.74 of 100Reported as individual
Quality
38.41
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue112
Removal of skin lesions1-10
Removal of nail tissue498
Removal or shaving of skin growth287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. CurrentSince Apr 1, 2026 Accepting new patients
Foot & Ankle Associates LLC Podiatrist CurrentSince Mar 1, 2023 Accepting new patients
Commonwealth Foot and Ankle Center Podiatrist CurrentSince Dec 16, 2020 Accepting new patients
Commonwealth Foot and Ankle Center Podiatrist CurrentSince Dec 16, 2020 Accepting new patients
Kentuckyone Health Medical Group, Inc. Foot & Ankle Surgery CurrentSince Apr 1, 2026 Accepting new patients
Foot & Ankle Associates LLC Podiatrist CurrentSince Mar 1, 2023 Accepting new patients

Locations

9400 S Cicero Ave
Ste 100
Oak Lawn, IL 60453
Phone (816) 673-3522

131 Walnut St
Lawrenceburg, IN 47025
Phone (812) 537-4848

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

1915 Bishop Ln
Louisville, KY 40218
Phone (502) 459-3338

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

3901 Dutchmans Ln
Ste 104
Louisville, KY 40207
Phone (502) 259-9101

624 Maysville Rd
Mt Sterling, KY 40353
Phone (859) 497-4144

1850 Bypass Rd
Winchester, KY 40391
Phone (859) 744-5111

Networks

  • KY PPO
  • KY PPO C-SNP

Organizations & group practices 6

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1013438746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835",
            "fax_number": "859-497-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 MAYSVILLE RD",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403539767",
            "telephone_number": "859-497-4144",
            "fax_number": "859-498-4137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Dutchmans Ln Ste 104",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074726",
            "country_code": "US",
            "telephone_number": "502-496-4914",
            "fax_number": "502-459-7509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUWKAMP",
        "first_name": "ANDREW",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07001408A",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "244105",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "244105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100677120",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

Verify at the official NPI Registry.