Individual provider Active NPI

Jeeshan Ali Faridi, M.D.

  • Orthopaedic Surgery Physician
  • Bardstown, KY
National Provider Identifier
1134514532
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
58849 Issued in KY
Practice address
4371 New Shepherdsville Rd
Bardstown, KY 40004-8040
Phone
(502) 348-5685
NPI assigned
Apr 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2021-02615 NC
Orthopaedic Surgery Physician 207X00000X 58849 KY Primary

Addresses

Primary practice location

4371 New Shepherdsville Rd
Bardstown, KY 40004-8040

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Other practice location 1

401 Mulberry St SW Ste 102
Lenoir, NC 28645-5463
Phone (828) 757-6434

Other practice location 2

875 Pennsylvania Ave
Bardstown, KY 40004-2529
Phone (502) 348-5685

Other identifiers 1

IdentifierTypeStateIssuer
7100432810MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfaridi775601@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171129002475 KY Practitioner - Orthopedic SurgeryPractitioner - Internal Medicine 0244519387 Reassigns benefits to 2 organizations
I20211013002158 NC Practitioner - Orthopedic Surgery 0244519387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Internal Medicine
Education
Virginia Tech Carilion School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentuckyone Health Medical Group Inc 260 clinicians

Practice addresses (Care Compare)

4371 New Shepherdsville Rd
Bardstown, KY 40004-8040
Phone (502) 350-1022

Hospital & facility affiliations

  • CHI Saint Joseph Flaget Memorial Hospital Hospital, Bardstown, KY, CCN 180025
  • Saint Joseph London Hospital, London, KY, CCN 180011
  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58849KYMDOrthopaedic Surgery Physician
2021-02615NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital Inc. CurrentSince Sep 28, 2021 Accepting new patients
Kentuckyone Health Medical Group, Inc. Internal Medicine CurrentSince Jan 15, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Dec 1, 2017 Accepting new patients
Caldwell Memorial Hospital, Inc Orthopaedic Surgery CurrentSince Sep 28, 2021 Accepting new patients
Caldwell Memorial Hospital, Inc Internal Medicine Current Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients
Kentuckyone Health Medical Group, Inc. Orthopaedic Surgery CurrentSince Jan 15, 2024 Accepting new patients

Locations

875 Pennsylvania Ave
Bardstown, KY 40004
Phone (502) 348-5685

4371 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 348-5685

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

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

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

8439 Valley Blvd
Blowing Rock, NC 28605
Phone (828) 295-3116

401 Mulberry St SW
Ste 102
Lenoir, NC 28645
Phone (828) 757-6434

Interoperability endpoints

  • Direct secure messaging: jfaridi352356@direct.stlukeshealth.org
  • Direct secure messaging: jfaridi85642@direct.nortonhealthcare.org
  • Direct secure messaging: jfaridi775601@direct.unc.nchie.net
  • Direct secure messaging: jeeshanfaridi@toa.allscriptsdirect.net

Organizations & group practices 7

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1134514532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 NEW SHEPHERDSVILLE RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400048040",
            "telephone_number": "502-348-5685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Mulberry St SW Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286455463",
            "country_code": "US",
            "telephone_number": "828-757-6434",
            "fax_number": "828-757-6435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400042529",
            "country_code": "US",
            "telephone_number": "502-348-5685",
            "fax_number": "502-348-1771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARIDI",
        "first_name": "JEESHAN",
        "middle_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2021-02615",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "58849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100432810",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfaridi775601@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "401 Mulberry St SW Ste 102",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.