NPIMap

Individual provider Active NPI

Jonathan George Yerasimides, MD

  • Orthopaedic Surgery Physician
  • Louisville, KY
National Provider Identifier
1295763225
Registry record updated Oct 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
40103 Issued in KY
Practice address
9880 Angies Way
Suite 250
Louisville, KY 40241-2851
Phone
(502) 394-6341
Fax
(502) 394-6340
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2020

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 40103 KY Primary

Addresses

Primary practice location

9880 Angies Way
Suite 250
Louisville, KY 40241-2851

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 2

IdentifierTypeStateIssuer
64124043MedicaidKY
200489030MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jyerasimides11258@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
I20061016000050 KY Practitioner - Orthopedic Surgery 4880609726 Reassigns benefits to 2 organizations
I20210816001343 IN Practitioner - Orthopedic Surgery 4880609726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Missouri, Kansas City, School of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Proactive Therapy, IncGroup PAC ID 0143245415, 118 clinicians
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, shared by 19 NPIs, 339 clinicians
Louisville Hip and Knee InstituteGroup PAC ID 3779990080, 18 clinicians

Practice addresses (Care Compare)

1004 Leawood Dr
Frankfort, KY 40601-3349
Phone (502) 223-7403

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

2031 Jeffersonville Commons Dr
Jeffersonville, IN 47130-8996
Phone (502) 447-5633

3810 Springhurst Blvd
Suite 310
Louisville, KY 40241-6162
Phone (502) 447-5633

Hospital & facility affiliations

  • Kort Home health agency, Jeffersonville, IN, CCN 157660
  • Caresouth HHA Holdings of Winchester, LLC Dba Enhabit Home Health Home health agency, Owensboro, KY, CCN 187087
  • Vna Health at Home Home health agency, Louisville, KY, CCN 187000
  • Centerwell Home Health Home health agency, Louisville, KY, CCN 187090
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement354

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Dec 1, 2008 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Dec 1, 2008 Accepting new patients
Norton Enterprises, Inc. Past Accepting new patients
Raymond G Shea MD PSC Orthopaedic Surgery Past Accepting new patients

Locations

210 E Gray St
Ste 900
Louisville, KY 40202
Phone (502) 584-8002

315 E Broadway
#195
Louisville, KY 40202
Phone (502) 589-5961

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

1102 Lyndon Ln
Louisville, KY 40222
Phone (502) 423-7911

10284 Shelbyville Rd
Louisville, KY 40223
Phone (502) 244-5827

7926 Preston Hwy
Louisville, KY 40219
Phone (502) 964-4357

9880 Angies Way
Ste 250
Louisville, KY 40241
Phone (502) 394-6340

Interoperability endpoints

  • Direct secure messaging: jonathan.yerasimides.1@22070.direct.athenahealth.com

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.

Hospital & facility affiliations 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602374400000",
    "number": "1295763225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 ANGIES WAY",
            "address_2": "SUITE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412851",
            "telephone_number": "502-394-6341",
            "fax_number": "502-394-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERASIMIDES",
        "first_name": "JONATHAN",
        "middle_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "40103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64124043",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200489030",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyerasimides11258@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "9880 Angies Way",
            "address_2": "Suite 250",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402412851",
            "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": "9880 Angies Way",
            "address_2": "Suite 250",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402412851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.