NPIMap

Individual provider Active NPI

Lacy Samuel Handshoe, D.O.

  • Vascular Neurology Physician
  • Louisville, KY
National Provider Identifier
1114389145
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
04950 Issued in KY
Practice address
4915 Norton Healthcare Blvd Ste 301
Louisville, KY 40241-2860
Phone
(502) 394-6460
Fax
(502) 394-6465
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 04950 KY
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084V0102X 04950 KY Primary

Addresses

Primary practice location

4915 Norton Healthcare Blvd Ste 301
Louisville, KY 40241-2860

Mailing address

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 445-3616

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
I20210816003559 KY Practitioner - Neurology 7012200348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

4950 Norton Healthcare Blvd
Suite 205
Louisville, KY 40241-2847
Phone (502) 394-6390

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04950KYMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Multi-Specialty CurrentSince Aug 1, 2021 Accepting new patients
Community Medical Associates, Inc. Vascular Neurology CurrentSince Aug 1, 2021 Accepting new patients
Community Medical Associates, Inc. Multi-Specialty Current Accepting new patients
Community Medical Associates, Inc. Multi-Specialty Past Accepting new patients
Community Medical Associates, Inc. Multi-Specialty Past Accepting new patients

Locations

157 Towne Dr
Ste 102
Elizabethtown, KY 42701
Phone (502) 559-3636

210 E Gray St
Ste 1105
Louisville, KY 40202
Phone (502) 583-1609

4950 Norton Healthcare Blvd
Ste 205
Louisville, KY 40241
Phone (502) 394-6390

3 Audubon Plaza Dr
Ste LL2
Louisville, KY 40217
Phone (502) 636-8005

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

4915 Norton Healthcare Blvd
Ste 301
Louisville, KY 40241
Phone (502) 394-6390

Interoperability endpoints

  • Direct secure messaging: lhandshoe212938@direct.nortonhealthcare.org

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1114389145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-445-3616",
            "fax_number": "216-636-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 NORTON HEALTHCARE BLVD STE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412860",
            "telephone_number": "502-394-6460",
            "fax_number": "502-394-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDSHOE",
        "first_name": "LACY",
        "middle_name": "SAMUEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "04950",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "KY",
            "license": "04950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.