Collin E. Ball

Individual provider Active NPI Foot & Ankle Surgery Podiatrist · London, KY

NPI 1619166378 · NPPES record last updated May 2, 2019

Key facts

NPI
1619166378
Entity type
Individual (NPI type 1)
Primary specialty
Foot & Ankle Surgery Podiatrist 213ES0103X
License
308 (KY)
Practice address
160 London Mountain View Dr
London, KY 40741-6601
Phone
(606) 864-0770
Fax
(606) 864-1461
NPI assigned
Oct 18, 2007
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

Medicare Care Compare profile

Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentuckyone Health Medical Group Inc (260 clinicians)

Practice addresses (Care Compare)

1 Trillium Way
Suite 306
Corbin, KY 40701-8426
Phone (606) 864-0770

1001 Saint Joseph LN
London, KY 40741-8345
Phone (606) 330-6000

1025 Saint Joseph LN
London, KY 40741-8345
Phone (606) 330-2370

1401 Harrodsburg Rd
Suite A300
Lexington, KY 40504-3787
Phone (859) 276-4429

148 London Mountain View Dr
Suite 4
London, KY 40741-6617
Phone (606) 864-0770

2750 Battlefield Memorial Hwy
Berea, KY 40403-8332
Phone (859) 968-0302

305 Estill St
Berea, KY 40403-1742
Phone (859) 986-8418

Hospital & facility affiliations

  • Saint Joseph London Hospital · London, KY · CCN 180011
  • Baptist Health Corbin Hospital · Corbin, KY · CCN 180080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue31
Removal of nail tissue80
Removal or shaving of skin growth23

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20081015000366 KY Practitioner - Podiatry 8022176361 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
308KYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Current
since Jan 1, 2014
Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
Kentuckyone Health Medical Group, Inc. Current
since Jan 1, 2014
Accepting new patients
Cumberland Orthopaedics and Sports Medicine, PLLC Foot & Ankle Surgery Past Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

470 Linden Ave
Ste 1
Harrodsburg, KY 40330
Phone (859) 733-4880

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

740 E Laurel Rd
London, KY 40741
Phone (606) 877-3931

160 London Mountain View Dr
London, KY 40741
Phone (606) 678-9617

310 E 9th St
London, KY 40741
Phone (606) 878-2227

148 London Mountain View Dr
Ste 4
London, KY 40741
Phone (606) 878-1181

100 E Liberty St
Ste 800
Louisville, KY 40202
Phone (502) 540-3339

Interoperability endpoints

  • Direct secure messaging: collinball@kysjhspe.allscriptsdirect.net
  • Direct secure messaging: cball275099@direct.stlukeshealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 308 KY Yes

Addresses

Primary practice location

160 London Mountain View Dr
London, KY 40741-6601

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7840

Other identifiers

IdentifierTypeStateIssuer
7100057900MedicaidKY

Other names

  • Dr. Collin E. Ball Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 2, 2019.

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1619166378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7840",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LONDON MOUNTAIN VIEW DR",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407416601",
            "telephone_number": "606-864-0770",
            "fax_number": "606-864-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "COLLIN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100057900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLIN",
            "last_name": "BALL",
            "middle_name": "E.",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in London, KY

All providers in London, KY · Foot & Ankle Surgery Podiatrist in Kentucky

Sources for this page

Verify at the official NPI Registry.