NPIMap

Individual provider Active NPI

John N Olsofka, M.D.

  • Surgery Physician
  • Louisville, KY
National Provider Identifier
1013919273
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
31325 Issued in KY
Practice address
4402 Churchman Ave
Ste 202
Louisville, KY 40215-3101
Phone
(502) 366-1090
Fax
(502) 366-1564
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 31325 KY Primary

Addresses

Primary practice location

4402 Churchman Ave
Ste 202
Louisville, KY 40215-3101

Mailing address

100 E Liberty St
Suite 800
Louisville, KY 40202-1434
Phone (502) 366-1090

Other identifiers 5

IdentifierTypeStateIssuer
1101115OtherKYPASSPORT
020041621OtherKYRAILROAD MEDICARE
P01026552OtherKYMEDICARE RR
000000050008OtherKYANTHEM
64313257MedicaidKY

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
I20100804000757 KY Practitioner - General Surgery 5496880635 Reassigns benefits to 1 organization
I20140317001956 IN Practitioner - General Surgery 5496880635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Louisville Physicians IncGroup PAC ID 3476725599, shared by 5 NPIs, 1,438 clinicians

Practice addresses (Care Compare)

2108 State St
New Albany, IN 47150-4923
Phone (502) 588-2160

4402 Churchman Ave
Suite 400
Louisville, KY 40215-3102
Phone (502) 899-3623

Hospital & facility affiliations

  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy17
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)12
Upper gastrointestinal (GI) endoscopy for acid reflux28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Surgery Current Accepting new patients
University of Louisivlle Physicians CurrentSince Nov 1, 2019 Accepting new patients
Louisville Surgical Associates, PSC Surgery Current Accepting new patients
University of Louisville Physicians, Inc Current Accepting new patients
University of Louisville Physicians, Inc. Surgery CurrentSince Sep 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

2108 State St
New Albany, IN 47150
Phone (812) 670-4305

213 Hunter Station Rd
Sellersburg, IN 47172
Phone (812) 248-2560

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

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

4402 Churchman Ave
#400
Louisville, KY 40215
Phone (502) 361-1042

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

4402 Churchman Ave
Ste 202
Louisville, KY 40215
Phone (502) 636-3134

3 Audubon Plaza Dr
Ste 310
Louisville, KY 40217
Phone (502) 375-0009

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

4402 Churchman Ave
Ste 302
Louisville, KY 40215
Phone (502) 366-7317

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Interoperability endpoints

  • Direct secure messaging: jolsofka13911@uoflhealth-dm.org

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 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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1013919273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST",
            "address_2": "SUITE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021434",
            "telephone_number": "502-366-1090",
            "fax_number": "502-366-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 CHURCHMAN AVE",
            "address_2": "STE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402153101",
            "telephone_number": "502-366-1090",
            "fax_number": "502-366-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSOFKA",
        "first_name": "JOHN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "31325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1101115",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020041621",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01026552",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000050008",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64313257",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.