NPIMap

Organization Active NPI

Kentuckiana Foot & Ankle, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
National Provider Identifier
1619646338
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KENTUCKIANA FOOT & ANKLE, PLLC
Practice address
2805 N Hurstbourne Pkwy Ste 105
Louisville, KY 40223-1285
Phone
(502) 243-3668
Fax
(502) 243-4745
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Syed Abdul KhaderNPI 1841272721
Title
Owner
Phone
(812) 725-7542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2805 N Hurstbourne Pkwy Ste 105
Louisville, KY 40223-1285

Mailing address

2805 N Hurstbourne Pkwy Ste 105
Louisville, KY 40223-1285
Phone (502) 243-3668

Other names 1

  • Tipton & Unrue Foot and Ankle Care, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211110000761 KY DME Supplier - Physician - Podiatry 4880752443 Practice locations: Louisville, KY

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Kentuckiana Foot and Ankle PLLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2805 N Hurstbourne Pkwy
Ste 105
Louisville, KY 40223
Phone (502) 243-3668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1619646338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 N HURSTBOURNE PKWY STE 105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402231285",
            "telephone_number": "502-243-3668",
            "fax_number": "502-243-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 N HURSTBOURNE PKWY STE 105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402231285",
            "telephone_number": "502-243-3668",
            "fax_number": "502-243-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKIANA FOOT & ANKLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "KHADER",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "ABDUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-725-7542"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tipton & Unrue Foot and Ankle Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.