Individual provider Active NPI

Ryan Jeffrey Krupp, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Louisville, KY
National Provider Identifier
1467590190
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
41945 Issued in KY
Practice address
9880 Angies Way Ste 250
Louisville, KY 40241-2865
Phone
(502) 394-6341
Fax
(502) 394-6340
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 41945 KY Primary

Addresses

Primary practice location

9880 Angies Way Ste 250
Louisville, KY 40241-2865

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

4950 Norton Healthcare Blvd Ste 310A
Louisville, KY 40241-2848
Phone (502) 394-6341

Other identifiers 11

IdentifierTypeStateIssuer
000023033POtherKYHUMANA- NORTON ORTHO TRAUMA CARE
200910490OtherKYMD WISE- NORTON ORTHO TRAUMA CARE
5220599OtherKYCIGNA- NORTON ORTHO TRAUMA CARE
00533045OtherKYMEDICARE- NORTON ORTHO TRAUMA CARE
200910490OtherKYHEALTHY INDIANA PLAN- NORTON ORTHO TRAUMA CARE
200910490OtherINMEDICAID INDIANA- NORTON ORTHO TRAUMA CARE
3545574000OtherKYPASSPORT ADVANTAGE- NORTON ORTHO TRAUMA CARE
50020863OtherKYPASSPORT- NORTON ORTHO TRAUMA CARE
000000575433OtherKYANTHEM- NORTON ORTHO TRAUMA CARE
7100061920OtherKYMEDICAID KY- NORTON ORTHO TRAUMA CARE
P00694596OtherKYRAILROAD MEDICARE- NORTON ORTHO TRAUMA CARE

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080806000330 KY Practitioner - Orthopedic SurgeryPractitioner - Cardiovascular Disease (Cardiology) 5799876173 Reassigns benefits to 2 organizations
I20251022002381 IN Practitioner - Orthopedic Surgery 5799876173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Louisville School of Medicine, 2002
Medicare assignment
May accept Medicare assignment
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, shared by 19 NPIs, 339 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians
Louisville Hip and Knee InstituteGroup PAC ID 3779990080, 18 clinicians
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

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

201 S Main St
Leitchfield, KY 42754-1425
Phone (270) 230-1729

2031 Jeffersonville Commons Dr
Jeffersonville, IN 47130-8996
Phone (502) 447-5633

3810 Springhurst Blvd
Suite 310
Louisville, KY 40241-6162
Phone (502) 447-5633

4950 Norton Healthcare Blvd
Louisville, KY 40241-2847

4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8125

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

  • Kort Home health agency, Jeffersonville, IN, CCN 157660
  • Caretenders Home health agency, Elizabethtown, KY, CCN 187145
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • Owensboro Health Twin Lakes Medical Center Hospital, Leitchfield, KY, CCN 180070
  • Breckinridge Memorial Hospital Hospital, Hardinsburg, KY, CCN 181319

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2008 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2008 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Louisville Hip and Knee Institute Sports Medicine CurrentSince Oct 1, 2025 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients
Mary Black Physician Services LLC Past Accepting new patients

Locations

2031 Jeffersonville Commons Dr
Jeffersonvlle, IN 47130
Phone (502) 447-5633

3810 Springhurst Blvd
Ste 310
Louisville, KY 40241
Phone (502) 447-5633

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

9880 Angies Way
Ste 250
Louisville, KY 40241
Phone (502) 394-6340

4123 Dutchmans Ln
Ste 401
Louisville, KY 40207
Phone (502) 394-6341

4950 Norton Healthcare Blvd
Ste 310A
Louisville, KY 40241
Phone (502) 394-6341

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22070/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rkrupp11250@direct.nortonhealthcare.org

Organizations & group practices 6

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1467590190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 ANGIES WAY STE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412865",
            "telephone_number": "502-394-6341",
            "fax_number": "502-394-6340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4950 Norton Healthcare Blvd Ste 310A",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402412848",
            "country_code": "US",
            "telephone_number": "502-394-6341",
            "fax_number": "502-394-6340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUPP",
        "first_name": "RYAN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "KY",
            "license": "41945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- NORTON ORTHO TRAUMA CARE",
            "identifier": "000023033P",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD WISE- NORTON ORTHO TRAUMA CARE",
            "identifier": "200910490",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA- NORTON ORTHO TRAUMA CARE",
            "identifier": "5220599",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- NORTON ORTHO TRAUMA CARE",
            "identifier": "00533045",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY INDIANA PLAN- NORTON ORTHO TRAUMA CARE",
            "identifier": "200910490",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIANA- NORTON ORTHO TRAUMA CARE",
            "identifier": "200910490",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE- NORTON ORTHO TRAUMA CARE",
            "identifier": "3545574000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT- NORTON ORTHO TRAUMA CARE",
            "identifier": "50020863",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- NORTON ORTHO TRAUMA CARE",
            "identifier": "000000575433",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID KY- NORTON ORTHO TRAUMA CARE",
            "identifier": "7100061920",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE- NORTON ORTHO TRAUMA CARE",
            "identifier": "P00694596",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.