Individual provider Active NPI

Scott Hudzinski, DPM

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
National Provider Identifier
1376033597
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
275927 Issued in KY
Practice address
1169 Eastern Pkwy Ste 3440
Louisville, KY 40217-1421
Phone
(502) 808-3668
Fax
(502) 289-9970
NPI assigned
May 14, 2018
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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 SC006920 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 275927 KY Primary

Addresses

Primary practice location

1169 Eastern Pkwy Ste 3440
Louisville, KY 40217-1421

Mailing address

1169 Eastern Pkwy Ste 3440
Louisville, KY 40217-1421
Phone (502) 808-3668

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
I20220706003908 KY Practitioner - Podiatry 1052710878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1169 Eastern Pkwy
Suite 3440
Louisville, KY 40217-1421
Phone (502) 808-3668

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue157
Removal of skin lesions93
Removal of nail tissue1321
Removal or shaving of skin growth886
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006920PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Foot and Ankle Associates, PLLC Foot & Ankle Surgery CurrentSince May 22, 2022 Accepting new patients
New Horizons Foot and Ankle Associates, PLLC Foot & Ankle Surgery CurrentSince May 22, 2022 Accepting new patients

Locations

1169 Eastern Pkwy
Ste 3440
Louisville, KY 40217
Phone (502) 290-9741

1505 S 7th St
Louisville, KY 40208
Phone (502) 637-1005

657 S Hurstbourne Pkwy
Ste G
Louisville, KY 40222
Phone (502) 808-3668

Organizations & group practices 2

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1376033597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 3440",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171421",
            "telephone_number": "502-808-3668",
            "fax_number": "502-289-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 3440",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171421",
            "telephone_number": "502-808-3668",
            "fax_number": "502-289-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDZINSKI",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006920",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "275927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.