NPIMap

Individual provider Active NPI

Mark G Smith, MD

  • Orthopaedic Surgery Physician
  • Louisville, KY
National Provider Identifier
1447245758
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25914 Issued in KY
Practice address
13151 Magisterial Dr
Ste 200
Louisville, KY 40223
Phone
(502) 587-1236
Fax
(502) 587-0126
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25914 KY Primary

Addresses

Primary practice location

13151 Magisterial Dr
Ste 200
Louisville, KY 40223

Mailing address

13151 Magisterial Dr
Suite 200
Louisville, KY 40223-4103
Phone (502) 587-1236

Other practice location 1

5120 Dixie Hwy Ste 103
Louisville, KY 40216-1775
Phone (502) 587-1236

Other practice location 2

4123 Dutchmans Ln Ste 101
Louisville, KY 40207-4718
Phone (502) 559-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110414000761 KY Practitioner - Orthopedic Surgery 0749396463 Reassigns benefits to 1 organization
I20110722000436 IN Practitioner - Orthopedic Surgery 0749396463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Louisville School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, shared by 19 NPIs, 339 clinicians
New Horizons Physical Therapy Limited PartnershipGroup PAC ID 4183641608, 77 clinicians

Practice addresses (Care Compare)

12613 Taylorsville Rd
Louisville, KY 40299-5496
Phone (502) 267-1480

13151 Magisterial Dr
Suite 200
Louisville, KY 40223-4103
Phone (502) 587-1236

2125 State St
New Albany, IN 47150-4972

3605 Northgate CT
Suite 214
New Albany, IN 47150-6422
Phone (812) 321-6321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement20
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis & Badenhausen Orthopaedics, PSC Orthopaedic Surgery CurrentSince Jan 1, 1990 Accepting new patients
Ellis & Badenhausen Orthopaedics, PSC Orthopaedic Surgery CurrentSince May 29, 2011 Accepting new patients
Ebo MRI, LLC Past Accepting new patients

Locations

3605 Northgate Ct
Ste 214
New Albany, IN 47150
Phone (502) 495-3665

13151 Magisterial Dr
#200
Louisville, KY 40223

4123 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 559-1777

5120 Dixie Hwy
Ste 103
Louisville, KY 40216
Phone (502) 449-0449

Interoperability endpoints

  • Direct secure messaging: mark.smith@eandbortho.directbygreenway.com

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.

Hospital & facility affiliations 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1447245758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13151 MAGISTERIAL DR",
            "address_2": "SUITE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234103",
            "telephone_number": "502-587-1236",
            "fax_number": "502-587-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13151 MAGISTERIAL DR",
            "address_2": "STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40223",
            "telephone_number": "502-587-1236",
            "fax_number": "502-587-0126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5120 Dixie Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402161775",
            "country_code": "US",
            "telephone_number": "502-587-1236",
            "fax_number": "502-587-0126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4123 Dutchmans Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074718",
            "country_code": "US",
            "telephone_number": "502-559-1777",
            "fax_number": "502-559-1775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "25914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.