Individual provider Active NPI

Jeffrey Nagy Fadel, MD

  • Orthopaedic Surgery Physician
  • Louisville, KY
National Provider Identifier
1215123138
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
22556 Issued in KY
Practice address
2932 Breckenridge LN Ste 1
Louisville, KY 40220-1409
Phone
(502) 479-1616
Fax
(502) 479-1619
NPI assigned
Sep 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 22556 KY Primary

Addresses

Primary practice location

2932 Breckenridge LN Ste 1
Louisville, KY 40220-1409

Mailing address

2932 Breckenridge LN Ste 1
Louisville, KY 40220-1409
Phone (502) 479-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1215123138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 BRECKENRIDGE LN STE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201409",
            "telephone_number": "502-479-1616",
            "fax_number": "502-479-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 BRECKENRIDGE LN STE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201409",
            "telephone_number": "502-479-1616",
            "fax_number": "502-479-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADEL",
        "first_name": "JEFFREY",
        "middle_name": "NAGY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "22556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.