Organization Active NPI

Louisville Hernia and General Surgery PLLC

  • Surgery Physician
  • Louisville, KY
National Provider Identifier
1124837760
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LOUISVILLE HERNIA AND GENERAL SURGERY PLLC
Practice address
1169 Eastern Pkwy Ste G-60
Louisville, KY 40217-1417
Phone
(502) 439-6180
NPI assigned
Jan 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Dr. Alexandra Caroline Maki, MDNPI 1295908622
Title
Owner
Phone
(404) 931-3104

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1169 Eastern Pkwy Ste G-60
Louisville, KY 40217-1417

Mailing address

1169 Eastern Pkwy Ste G-60
Louisville, KY 40217-1417
Phone (502) 439-6180

Other names 1

  • Louisville Hernia & General Surgery Pllc Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250311001852 KY Part B Supplier - Clinic/Group Practice 7517488125 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY
O20250808001349 IN Part B Supplier - Clinic/Group Practice 7517488125 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, IN; New Albany, IN

National Provider Directory

National Provider Directory

Locations

1169 Eastern Pkwy
#G60
Louisville, KY 40217

1145 Eastern Pkwy
Ste G60
Louisville, KY 40217

1169 Eastern Pkwy
Ste G60
Louisville, KY 40217
Phone (502) 439-6180

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1124837760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE G-60",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171417",
            "telephone_number": "502-439-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE G-60",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171417",
            "telephone_number": "502-439-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE HERNIA AND GENERAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "MAKI",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-931-3104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisville Hernia & General Surgery Pllc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 6, 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.