NPIMap

Individual provider Active NPI

George Jeffrey Popham, MD

  • Orthopaedic Surgery Physician
  • Louisville, KY
National Provider Identifier
1265426712
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34044 Issued in KY
Practice address
13151 Magisterial Dr Ste 200
Louisville, KY 40223-4103
Phone
(502) 587-1236
Fax
(502) 587-0126
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 34044 KY
Orthopaedic Surgery Physician 207X00000X 34044 KY Primary

Addresses

Primary practice location

13151 Magisterial Dr Ste 200
Louisville, KY 40223-4103

Mailing address

PO Box 32486
Louisville, KY 40232-2486
Phone (502) 587-1236

Other practice location 1

5120 Dixie Hwy Ste 103
Louisville, KY 40216-1775
Phone (502) 587-1236

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
I20100823000176 KY Practitioner - Orthopedic Surgery 7719013028 Reassigns benefits to 1 organization
I20110725000307 IN Practitioner - Orthopedic Surgery 7719013028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Louisville School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, shared by 19 NPIs, 339 clinicians

Practice addresses (Care Compare)

12613 Taylorsville Rd
Louisville, KY 40299-5496
Phone (502) 267-1480

13151 Magisterial Dr
Suite 200
Louisville, KY 40223-4103
Phone (502) 587-1236

3605 Northgate CT
Suite 214
New Albany, IN 47150-6422
Phone (812) 321-6321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement21
Knee replacement33
Lower limb (leg) arthroscopy (minimally invasive joint repair)12
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
34044KYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis & Badenhausen Orthopaedics, PSC Orthopaedic Surgery Current Accepting new patients
Ellis & Badenhausen Orthopaedics, PSC CurrentSince Jan 1, 2003 Accepting new patients
Ellis & Badenhausen Orthopaedics,PSC Orthopaedic Surgery CurrentSince Jan 1, 2003 Accepting new patients
RDM Surgical Assistant PastSince Jun 1, 2020 Accepting new patients

Locations

200 Missouri Ave
Ste 18A
Jeffersonville, IN 47130

200 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 920-0055

3605 Northgate Ct
Ste 214
New Albany, IN 47150
Phone (502) 495-3665

13151 Magisterial Dr
#200
Louisville, KY 40223

4123 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 559-1777

5120 Dixie Hwy
Ste 103
Louisville, KY 40216
Phone (502) 449-0449

Interoperability endpoints

  • Direct secure messaging: george.popham@eandbortho.directbygreenway.com

Organizations & group practices 4

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1265426712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32486",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402322486",
            "telephone_number": "502-587-1236",
            "fax_number": "502-587-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13151 MAGISTERIAL DR STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234103",
            "telephone_number": "502-587-1236",
            "fax_number": "502-587-0126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5120 Dixie Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402161775",
            "country_code": "US",
            "telephone_number": "502-587-1236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPHAM",
        "first_name": "GEORGE",
        "middle_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "KY",
            "license": "34044",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "34044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.