Active NPI
Dawn Marie Michels, DPM
- Foot & Ankle Surgery Podiatrist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 243966
- Practice address
- 4130 Dutchmans LN Ste 300
Louisville, KY 40207-4710 - Phone
- (502) 897-1794
- Fax
- (502) 897-3852
- NPI assigned
- Jul 28, 2005
- Last updated
- Aug 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07000979A | IN | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 243966 | KY | Primary |
Addresses
Primary practice location
4130 Dutchmans LN Ste 300
Louisville, KY 40207-4710
Mailing address
4130 Dutchmans LN Ste 300
Louisville, KY 40207-4710
Phone (502) 897-1794
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300079402 | Medicaid | IN | |
| 611327502 | Other | TRICARE FOR LIFE | |
| 2446386000 | Other | PASSPORT ADVANTAGE | |
| 611327502 | Other | TRICARE NORTH | |
| 000000334676 | Other | IN | ANTHEM |
| 000000334676 | Other | IN COMPREHENSIVE | |
| 000000334676 | Other | KY | ANTHEM |
| 200483320 | Medicaid | IN | |
| 50005049 | Medicaid | KY | |
| 611327502 | Other | HUMANA | |
| 000000334676 | Other | ONE NATION | |
| 000000334676 | Other | UNICARE | |
| P00145989 | Other | RAILROAD MEDICARE | |
| 80000441 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Louisville Medical College, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
1850 State St
New Albany, IN 47150-4990
Phone (812) 542-4921
2400 Eastpoint Pkwy
Suite 470
Louisville, KY 40223-4154
Phone (502) 897-6579
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.05 of 100
- Promoting interoperability
- 93
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 73 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 191 |
| Removal or shaving of skin growth | 147 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Jewish Hospital & St. Mary's Healthcare, Inc. | Past | Accepting new patients | |
| Jewish Hospital & St. Mary's Healthcare, Inc. | Past | Accepting new patients |
Locations
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
1425 State St
Ste 100
New Albany, IN 47150
Phone (812) 945-2229
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
2400 Eastpoint Pkwy
Ste 470
Louisville, KY 40223
Phone (502) 897-6579
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
4130 Dutchmans Ln
Ste 200
Louisville, KY 40207
Phone (502) 238-7293
4130 Dutchmans Ln
Ste 300
Louisville, KY 40207
Interoperability endpoints
- dawn.michels.1@25506.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
-
dba Jewish Hospital Medical Center Northeast
- General Acute Care Hospital
- Louisville, KY
- NPI 1912366238
-
dba Frazier Rehab Institute East
- Rehabilitation Hospital Unit
- Louisville, KY
- NPI 1982603007
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Louisville
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1578563920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 DUTCHMANS LN STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074710",
"telephone_number": "502-897-1794",
"fax_number": "502-897-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 DUTCHMANS LN STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074710",
"telephone_number": "502-897-1794",
"fax_number": "502-897-3852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELS",
"first_name": "DAWN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2023-08-18",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07000979A",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "KY",
"license": "243966",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300079402",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE FOR LIFE",
"identifier": "611327502",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2446386000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE NORTH",
"identifier": "611327502",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000334676",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IN COMPREHENSIVE",
"identifier": "000000334676",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000334676",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200483320",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50005049",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "611327502",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE NATION",
"identifier": "000000334676",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "000000334676",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00145989",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80000441",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.