NPIMap

Organization Active NPI

Kentuckiana Foot & Ankle PLLC

Doing business as Kentucky/Indiana Foot and Ankle Specialist

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
National Provider Identifier
1114177979
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
KENTUCKIANA FOOT & ANKLE PLLC
Doing business as
Kentucky/Indiana Foot and Ankle Specialist
Practice address
7397 Jefferson Blvd
Louisville, KY 40219-6178
Phone
(502) 805-3338
Fax
(502) 805-7149
NPI assigned
Sep 29, 2008
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Syed A Khader, DPMNPI 1841272721
Title
Owner Physician
Phone
(502) 968-2233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU
Infectious Disease Physician 207RI0200X NU
Orthopaedic Surgery Physician 207X00000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

7397 Jefferson Blvd
Louisville, KY 40219-6178

Mailing address

7397 Jefferson Blvd
Louisville, KY 40219-6178
Phone (614) 446-8175

Other identifiers 6

IdentifierTypeStateIssuer
7100061090MedicaidKY
DO1639OtherINRAILROAD MEDICARE
DQ5708OtherKYRAILROAD MEDICARE
200918130AMedicaidIN
000000590059OtherINANTHEM
50022119OtherKYPASSPORT

Other names 1

  • Kentucky/Indiana Foot and Ankle Specialist Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20081027000074 IN Part B Supplier - Clinic/Group Practice 4880752443 Receives reassigned benefits from 15 practitioners
Practice locations: New Albany, IN
O20081211000479 KY Part B Supplier - Clinic/Group Practice 4880752443 Receives reassigned benefits from 27 practitioners
Practice locations: La Grange, KY; Louisville, KY; Elizabethtown, KY; Bowling Green, KY; Bardstown, KY
O20100930031259 IN DME Supplier - Physician - Podiatry 4880752443 Practice locations: New Albany, IN

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Kentuckiana Foot PLLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1263 Hospital Dr NW
Ste 10
Corydon, IN 47112
Phone (812) 738-4054

900 Chambers Blvd
Bardstown, KY 40004
Phone (502) 331-6307

427 US 31W Byp
Ste 202
Bowling Green, KY 42101
Phone (270) 796-6160

2805 N Hurstbourne Pkwy
Louisville, KY 40223
Phone (502) 243-3668

734 W Main St
Ste 100
Louisville, KY 40202
Phone (502) 804-4811

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1114177979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7397 JEFFERSON BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402196178",
            "telephone_number": "614-446-8175",
            "fax_number": "614-665-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7397 JEFFERSON BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402196178",
            "telephone_number": "502-805-3338",
            "fax_number": "502-805-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKIANA FOOT & ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "KHADER",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "502-968-2233",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100061090",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DO1639",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ5708",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200918130A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000590059",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50022119",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentucky/Indiana Foot and Ankle Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.