Individual provider Active NPI

Steven Richard Shlonsky, DPM

  • Podiatrist
  • Louisville, KY
National Provider Identifier
1366542748
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
178 Issued in KY
Practice address
149 Thierman Lane
Louisville, KY 40207
Phone
(502) 897-6343
NPI assigned
Sep 25, 2006
Last updated
Aug 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 178 KY Primary

Addresses

Primary practice location

149 Thierman Lane
Louisville, KY 40207

Mailing address

149 Thierman Lane
Louisville, KY 40207
Phone (502) 897-6343

Other identifiers 3

IdentifierTypeStateIssuer
80001787MedicaidKY
480003439OtherRAILROAD MEDICARE
000000039788OtherKYANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060207000178 KY Practitioner - Podiatry 2860407277 Reassigns benefits to 1 organization
Practice locations: Prospect, KY; Louisville, KY; Goshen, KY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

149 Thierman Lane
Louisville, KY 40207

149 Thierman LN
Louisville, KY 40207-5009
Phone (502) 897-6343

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue24
Removal of nail tissue741
Removal or shaving of skin growth21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178KYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
M&M Medical Clinics LLC CurrentSince Feb 17, 2020 Accepting new patients
Bluegrass Podiatric Management LLC Podiatrist CurrentSince Jan 1, 2020 Accepting new patients
Bedside Medicine, PLLC Past Accepting new patients
Clear Ears Past Accepting new patients

Locations

240 Masonic Home Dr
Masonic Home, KY 40041
Phone (502) 873-2356

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1366542748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 THIERMAN LANE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-897-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 THIERMAN LANE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-897-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHLONSKY",
        "first_name": "STEVEN",
        "middle_name": "RICHARD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80001787",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480003439",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000039788",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.