NPIMap

Individual provider Active NPI

Stephen Bender Self, MD

  • Vascular Surgery Physician
  • Louisville, KY
National Provider Identifier
1174557037
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
24711 Issued in KY
Practice address
201 Abraham Flexner Way
Suite 1004
Louisville, KY 40202
Phone
(502) 589-3173
Fax
(502) 589-6751
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 01046196 IN
Vascular Surgery Physician 2086S0129X 24711 KY Primary

Addresses

Primary practice location

201 Abraham Flexner Way
Suite 1004
Louisville, KY 40202

Mailing address

100 E Liberty St Ste 130
Louisville, KY 40202-1434
Phone (502) 589-3173

Other practice location 1

3 Audubon Plaza Dr Ste 220
Louisville, KY 40217-1319
Phone (502) 636-7242

Other identifiers 2

IdentifierTypeStateIssuer
100389000A-KOHMGMedicaidIN
64247117MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sself40200@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090123000342 KY Practitioner - Vascular Surgery 5294700571 Reassigns benefits to 1 organization
I20250927000158 IN Practitioner - Vascular Surgery 5294700571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Louisville School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-7225

213 Midland Blvd
Suite 2
Shelbyville, KY 40065-7791
Phone (502) 437-8100

2355 Poplar Level Rd
Suite 200
Louisville, KY 40217-1385
Phone (502) 636-7444

630 Broadway St
Suite 1D
Madison, IN 47250-3310
Phone (812) 280-1419

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

901 Dupont Rd
Louisville, KY 40207-4644

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01046196INMDVascular Surgery Physician
24711KYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Jul 10, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 3, 2018 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 3, 2018 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Thoracic & Vascular Associates, P.S.C. Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

630 Broadway St
Ste 1D
Madison, IN 47250
Phone (812) 280-1419

1858 Old Lebanon Rd
Campbellsville, KY 42718
Phone (270) 465-0632

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

2410 Ring Rd
Ste 500
Elizabethtown, KY 42701
Phone (270) 765-5900

912 Wallace Ave
Ste 104
Leitchfield, KY 42754
Phone (270) 287-0001

2355 Poplar Level Rd
Ste G19
Louisville, KY 40217
Phone (502) 394-3617

901 DuPont Rd
Ste 200
Louisville, KY 40207

210 E Gray St
Ste 1002
Louisville, KY 40202
Phone (502) 584-2027

3 Audubon Plaza Dr
Ste 310
Louisville, KY 40217
Phone (502) 375-0009

4420 Dixie Hwy
Ste 118
Louisville, KY 40216
Phone (502) 447-3448

3 Audubon Plaza Dr
Ste 220
Louisville, KY 40217
Phone (502) 636-7242

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

150 Frankfort Rd
Ste 102C
Shelbyville, KY 40065
Phone (502) 882-8414

Organizations & group practices 8

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1174557037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST STE 130",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021434",
            "telephone_number": "502-589-3173",
            "fax_number": "502-589-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ABRAHAM FLEXNER WAY",
            "address_2": "SUITE 1004",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "502-589-3173",
            "fax_number": "502-589-6751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Audubon Plaza Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171319",
            "country_code": "US",
            "telephone_number": "502-636-7242",
            "fax_number": "502-636-7130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELF",
        "first_name": "STEPHEN",
        "middle_name": "BENDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01046196",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "KY",
            "license": "24711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100389000A-KOHMG",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64247117",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sself40200@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "201 Abraham Flexner Way",
            "address_2": "Suite 1004",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "201 Abraham Flexner Way",
            "address_2": "Suite 1004",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.