University of Louisville Physicians, Inc.

Organization Active NPI Podiatrist · Louisville, KY

NPI 1356613699 · NPPES record last updated Feb 2, 2012

Key facts

NPI
1356613699
Entity type
Organization (NPI type 2)
Primary specialty
Podiatrist 213E00000X
Legal business name
UNIVERSITY OF LOUISVILLE PHYSICIANS, INC.
Practice address
401 E Chestnut St Unit 710
Louisville, KY 40202-5707
Phone
(502) 583-8303
Fax
(502) 583-2938
NPI assigned
Feb 2, 2012
Organization subpart
No

Authorized official

Name
John Elliott
Title
VP of Human Resources
Phone
(502) 561-2404

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20111017000036 KY Part B Supplier - Clinic/Group Practice 3476725599 Receives reassigned benefits from 2,419 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Ulp Acb Neurosurgery (71 organizations share this tax ID)

Locations

601 S Floyd St
Ste 200
Louisville, KY 40202
Phone (502) 585-4376

601 S Floyd St
Louisville, KY 40202
Phone (502) 271-5999

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist
Group: 193400000X SINGLE SPECIALTY GROUP
213E00000X Yes

Addresses

Primary practice location

401 E Chestnut St Unit 710
Louisville, KY 40202-5707

Mailing address

501 E Broadway Ste 290
Louisville, KY 40202-2040
Phone (502) 217-5134

Other names

  • ULP Podiatry Doing business as

Other providers in Louisville, KY

All providers in Louisville, KY · Podiatrist in Kentucky

Sources for this page

Verify at the official NPI Registry.