NPIMap

Nicholas Utchan Ahn, MD

Individual provider Active NPI Orthopaedic Surgery Physician · Louisville, KY

NPI 1356369482 · NPPES record last updated Oct 5, 2023

Key facts

NPI
1356369482
Entity type
Individual (NPI type 1)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
License
58613 (KY)
Practice address
550 S Jackson St
Louisville, KY 40202-1622
Phone
(502) 588-4521
Fax
(502) 588-9542
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 12

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 23

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

Medicare Care Compare profile

Specialty
Orthopedic Surgery
Education
Harvard Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Louisville Physicians Inc (1,438 clinicians)

Practice addresses (Care Compare)

550 S Jackson St
Louisville, KY 40202-1622
Phone (502) 562-4057

Hospital & facility affiliations

  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital · Louisville, KY · CCN 180040
  • University of Louisville Hospital Hospital · Louisville, KY · CCN 180141

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100 (group)
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion37
Laminectomy or laminotomy (partial removal of spine bones)15
Removal of tissue1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in OH, KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050308000405 OH Practitioner - Orthopedic Surgery 5597719047 Reassigns benefits to 1 organization
I20230814000543 KY Practitioner - Orthopedic Surgery 5597719047 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Current
since Aug 1, 2023		 Accepting new patients
University of Louisville Physicians, Inc. Orthopaedic Surgery Current Accepting new patients
University Hospitals Medical Group Inc Orthopaedic Surgery Current
since Jan 1, 2007		 Accepting new patients
University of Louisville Physicians, Inc. Orthopaedic Surgery Current
since Aug 1, 2023		 Accepting new patients
Multicare Health System Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients
Advanced Spine & Orthopaedic Specialists, PA Orthopaedic Surgery Past Accepting new patients
University Health Physicians Orthopaedic Surgery Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

550 S Jackson St
Louisville, KY 40202
Phone (502) 561-8686

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

11100 Euclid Ave
Cleveland Heights, OH 44106

24701 Euclid Ave
Fl 3
Euclid, OH 44117
Phone (216) 383-6950

20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156

Interoperability endpoints

  • Direct secure messaging: nahn37400@uoflhealth-dm.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 58613 KY Yes

Addresses

Primary practice location

550 S Jackson St
Louisville, KY 40202-1622

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0328

Other identifiers

IdentifierTypeStateIssuer
000000221339OtherOHUNISON
300081605MedicaidIN
P00353696OtherOHRAILROAD MEDICARE
2536572MedicaidOH
735540OtherOHBUCKEYE
363304OtherOHWELLCARE
7858409OtherAETNA
000000503699OtherOHANTHEM
7100784450MedicaidKY
P00219603OtherOHRAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 5, 2023.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1356369482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S JACKSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021622",
            "telephone_number": "502-588-4521",
            "fax_number": "502-588-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "NICHOLAS",
        "middle_name": "UTCHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "58613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000221339",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300081605",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00353696",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2536572",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "735540",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "363304",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7858409",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000503699",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100784450",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00219603",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

All providers in Louisville, KY · Orthopaedic Surgery Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.