NPIMap

Individual provider Active NPI

Marika-Foteni Antimisiaris, MD

  • Epilepsy Physician
  • Louisville, KY
National Provider Identifier
1497286348
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Epilepsy PhysicianTaxonomy code 2084E0001X
License
60584 Issued in KY
Practice address
4915 Norton Healthcare Blvd Ste 301
Louisville, KY 40241-2866
Phone
(502) 394-6460
Fax
(502) 394-6465
NPI assigned
Mar 22, 2017
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy Physician 2084E0001X 60584 KY Primary
Epilepsy Physician 2084E0001X 332417 LA
Epilepsy Physician 2084E0001X 01096482A IN
Neurology Physician 2084N0400X 60584 KY
Neurology Physician 2084N0400X 01096482A IN

Addresses

Primary practice location

4915 Norton Healthcare Blvd Ste 301
Louisville, KY 40241-2866

Mailing address

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

Other practice location 1

395 W 12th Ave
Third Floor
Columbus, OH 43210-1267
Phone (614) 293-3989

Other practice location 2

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, IN, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20221003003067 LA Practitioner - Neurology 1153693924 Reassigns benefits to 1 organization
I20250913000465 IN Practitioner - NeurologyPractitioner - Other (Physician) 1153693924 Reassigns benefits to 1 organization
I20250918000605 KY Practitioner - Neurology 1153693924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Louisville School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

Practice addresses (Care Compare)

2051 Clevidence Blvd
Suite B
Clarksville, IN 47129-2278
Phone (502) 629-2030

4915 Norton Healthcare Blvd
Suite 301
Louisville, KY 40241-2866
Phone (502) 394-6460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01096482AINMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Aug 8, 2022 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 8, 2022 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

1373 E State Road 62
Ste 1D
Madison, IN 47250
Phone (812) 801-0806

210 E Gray St
Ste 1003
Louisville, KY 40202
Phone (502) 629-2602

4915 Norton Healthcare Blvd
Ste 301
Louisville, KY 40241
Phone (502) 394-6460

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

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Organizations & group practices 9

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1497286348",
    "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": "4915 NORTON HEALTHCARE BLVD STE 301",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412866",
            "telephone_number": "502-394-6460",
            "fax_number": "502-394-6465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 W 12th Ave",
            "address_2": "Third Floor",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101267",
            "country_code": "US",
            "telephone_number": "614-293-3989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701212429",
            "country_code": "US",
            "telephone_number": "504-842-4021",
            "fax_number": "504-842-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTIMISIARIS",
        "first_name": "MARIKA-FOTENI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "KY",
            "license": "60584",
            "primary": true
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "LA",
            "license": "332417",
            "primary": false
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "IN",
            "license": "01096482A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "60584",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01096482A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.