Marika-Foteni Antimisiaris, MD
Individual provider Active NPI Epilepsy Physician · Louisville, KY
NPI 1497286348 · NPPES record last updated Aug 19, 2025
Key facts
- NPI
- 1497286348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Epilepsy Physician 2084E0001X
- License
- 60584 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 14
Medicare Care Compare profile
- 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 Inc
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
- Norton Hospitals, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in LA, IN, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221003003067 | LA | Practitioner - Neurology | 1153693924 | Reassigns benefits to 1 organization |
| I20250913000465 | IN | Practitioner - Neurology |
1153693924 | Reassigns benefits to 1 organization |
| I20250918000605 | KY | Practitioner - Neurology | 1153693924 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332417 | LA | MD | Epilepsy Physician |
| 01096482A | IN | MD | Neurology Physician |
| 60584 | KY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current |
Accepting new patients | |
| Community Medical Associates, Inc. | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Community Medical Associates, Inc. | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current |
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
Ste 1D
Madison, IN 47250
Phone (812) 427-9564
1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181
210 E Gray St
Ste 1003
Louisville, KY 40202
Phone (502) 629-2602
4915 Norton Healthcare Blvd
Ste 301
Louisville, KY 40241
Phone (502) 394-6390
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Epilepsy Physician | 2084E0001X | 60584 | KY | Yes |
| 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
NPI Registry JSON
{
"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
- Anthony Chase Chiropractic, PLLC
- Ashlea Danielle Anthony
- Everett R Anthony
- Terry L Anthony
- Demetra Elizabeth Antimisiaris
- Sophia Antimisiaris
- William Douglas Antle
- James T Antoine
- Janet Abrath Antoine
- Lauren Nicole Antoine
All providers in Louisville, KY · Epilepsy Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.