Individual provider Active NPI

Alfred L. Knable Jr., M.D.

  • Dermatology Physician
  • New Albany, IN
National Provider Identifier
1174538912
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
33806 Issued in KY
Practice address
2241 Green Valley Rd
New Albany, IN 47150
Phone
(812) 948-1148
Fax
(812) 948-0032
NPI assigned
Jul 30, 2006
Last updated
Jul 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 01041935 IN
Dermatology Physician 207N00000X 33806 KY Primary

Addresses

Primary practice location

2241 Green Valley Rd
New Albany, IN 47150

Mailing address

PO Box 950132
Louisville, KY 40295-0132
Phone (888) 980-8992

Other identifiers 2

IdentifierTypeStateIssuer
200195570MedicaidIN
64338064MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20100610000861 KY Practitioner - Dermatology 9335031574 Reassigns benefits to 1 organization
I20101214000692 IN Practitioner - Dermatology 9335031574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Indiana University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Dermatology, PLLCGroup PAC ID 1658263876, 37 clinicians

Practice addresses (Care Compare)

2241 Green Valley Rd
New Albany, IN 47150-4647
Phone (502) 583-1749

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1675
Removal of nail tissue1-10
Skin biopsy344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01041935INMDDermatology Physician
33806KYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Dermatology, PLLC Dermatology CurrentSince Mar 23, 1998 Accepting new patients
Major Hospital Past Accepting new patients
University Physicians Group - Radiology Past Accepting new patients

Locations

2241 Green Valley Rd
New Albany, IN 47150
Phone (812) 948-1148

700 Portland Ave
Ste B
Bardstown, KY 40004
Phone (270) 234-6695

325 W Walnut St
Ste 300
Lebanon, KY 40033
Phone (270) 692-0735

1700 Old Bluegrass Ave
Ste 300
Louisville, KY 40215
Phone (502) 361-0288

310 E Broadway
Ste 200
Louisville, KY 40202
Phone (502) 585-5249

3810 Springhurst Blvd
Louisville, KY 40241
Phone (502) 322-1954

3810 Springhurst Blvd
Ste 200
Louisville, KY 40241

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1174538912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950132",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950132",
            "telephone_number": "888-980-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 GREEN VALLEY RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "47150",
            "telephone_number": "812-948-1148",
            "fax_number": "812-948-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNABLE",
        "first_name": "ALFRED",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01041935",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "33806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200195570",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64338064",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.