Active NPI
Jeeshan Ali Faridi, M.D.
- Orthopaedic Surgery Physician
- Bardstown, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 58849
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100432810 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfaridi775601@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171129002475 | KY | Practitioner - Orthopedic Surgery | 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 Surgery
- 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
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
- Saint Joseph London
- Baptist Health Corbin
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 58849 | KY | MD | Orthopaedic Surgery Physician |
| 2021-02615 | NC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caldwell Memorial Hospital Inc. | Current | Accepting new patients | |
| Kentuckyone Health Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Caldwell Memorial Hospital, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Caldwell Memorial Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| Community Medical Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| Kentuckyone Health Medical Group, Inc. | Orthopaedic Surgery | Current | 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
- jfaridi352356@direct.stlukeshealth.org
- jfaridi85642@direct.nortonhealthcare.org
- jfaridi775601@direct.unc.nchie.net
- 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.
-
- Family Medicine Physician
- Lexington, KY
- NPI 1104875970
Internal Medicine, KY
-
- Cardiovascular Disease Physician
- Lenoir, NC
- NPI 1477839108
Internal Medicine, NC
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
Internal Medicine
-
- General Practice Physician
- Lexington, KY
- NPI 1902238694
Orthopaedic Surgery
-
- Diagnostic Radiology Physician
- Lenoir, NC
- NPI 1255221180
-
- Orthopaedic Surgery Physician
- Lenoir, NC
- NPI 1811516446
Orthopaedic Surgery
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.