NPIMap

Individual provider Active NPI

Eric Gustafson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
National Provider Identifier
1316470255
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
262794 Issued in KY
Practice address
6801 Dixie Hwy Ste 134
Louisville, KY 40258-3952
Phone
(502) 447-4500
Fax
(502) 449-0108
NPI assigned
Apr 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 262794 KY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6801 Dixie Hwy Ste 134
Louisville, KY 40258-3952

Mailing address

6801 Dixie Hwy Ste 134
Louisville, KY 40258-3952
Phone (502) 447-4500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210811001490 KY Practitioner - Podiatry 9133523277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1905 W Hebron LN
Suite 204
Shepherdsville, KY 40165-7467
Phone (502) 797-3338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.85 of 100Reported as group
Quality
77.7
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue132
Removal of skin lesions134
Removal of nail tissue535
Removal or shaving of skin growth196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
262794KYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Foot & Ankle Centers Foot & Ankle Surgery CurrentSince Feb 22, 2023 Accepting new patients
Kentuckiana Foot & Ankle, PLLC Foot & Ankle Surgery CurrentSince May 1, 2022 Accepting new patients
Kentuckiana Foot & Ankle PLLC Foot & Ankle Surgery CurrentSince May 1, 2022 Accepting new patients
Comprehensive Foot & Ankle Centers Foot & Ankle Surgery CurrentSince Feb 22, 2023 Accepting new patients

Locations

279 Kings Daughters Dr
Ste 203
Frankfort, KY 40601
Phone (502) 633-0192

9407 Westport Rd
Ste 110
Louisville, KY 40241
Phone (502) 797-3338

4420 Dixie Hwy
Ste 130
Louisville, KY 40216
Phone (502) 805-3338

6801 Dixie Hwy
Ste 134
Louisville, KY 40258
Phone (502) 447-4500

7397 Jefferson Blvd
Louisville, KY 40219
Phone (502) 805-3338

1701 Midland Trl
Shelbyville, KY 40065
Phone (502) 633-3338

1905 W Hebron Ln
Ste 204
Shepherdsvlle, KY 40165
Phone (502) 797-3338

Interoperability endpoints

  • Direct secure messaging: egustafson@usfas.emadirect.md

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1316470255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 DIXIE HWY STE 134",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583952",
            "telephone_number": "502-447-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 DIXIE HWY STE 134",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583952",
            "telephone_number": "502-447-4500",
            "fax_number": "502-449-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "ERIC",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "262794",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.