Individual provider Active NPI

Holly Elizabeth Mergelsberg

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
National Provider Identifier
1124778949
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
307091 Issued in KY
Practice address
6801 Dixie Hwy Ste 134
Louisville, KY 40258-3952
Phone
(305) 987-8791
NPI assigned
Mar 25, 2022
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 307091 KY Primary

Addresses

Primary practice location

6801 Dixie Hwy Ste 134
Louisville, KY 40258-3952

Mailing address

6801 Dixie Hwy Ste 134
Louisville, KY 40258-3952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260611000342 IN Practitioner - Podiatry 9234601204
I20260616003455 KY Practitioner - Podiatry 9234601204

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8122 Datapoint Dr
Suite 720
San Antonio, TX 78229-3228

8122 Datapoint Dr
Suite 720
San Antonio, TX 78229-3479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307091KYMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1124778949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 DIXIE HWY STE 134",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 DIXIE HWY STE 134",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583952",
            "telephone_number": "305-987-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERGELSBERG",
        "first_name": "HOLLY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "307091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.