Individual provider Active NPI

Alan Keith Mauser, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
National Provider Identifier
1649250010
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
176 Issued in KY
Practice address
2525 Bardstown Rd
Louisville, KY 40205-2665
Phone
(502) 458-8989
Fax
(502) 451-5439
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 176 KY Primary

Addresses

Primary practice location

2525 Bardstown Rd
Louisville, KY 40205-2665

Mailing address

2525 Bardstown Rd
Louisville, KY 40205-2665
Phone (502) 458-8989

Other identifiers 5

IdentifierTypeStateIssuer
000000049285OtherKYANTHEM
200082600MedicaidIN
80001761MedicaidKY
1059382OtherKYPASSPORT HEALTH PLAN
P01048197OtherINRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060207000591 KY Practitioner - Podiatry 7719882398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisville Podiatry PSCGroup PAC ID 0648437616, 3 clinicians

Practice addresses (Care Compare)

2525 Bardstown Rd
Suite 110
Louisville, KY 40205-2699
Phone (502) 458-8989

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue38
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
176KYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Podiatry PSC Foot & Ankle Surgery CurrentSince Apr 20, 2011 Accepting new patients

Locations

200 Missouri Ave
Bldg 18
Jeffersonvlle, IN 47130
Phone (502) 552-5221

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

2525 Bardstown Rd
Ste 110
Louisville, KY 40205
Phone (502) 458-8989

2525 Bardstown Rd
Louisville, KY 40205
Phone (502) 458-8989

Interoperability endpoints

  • Direct secure messaging: mauser.a@lpp-ky.direct.office.nextgen.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1649250010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052665",
            "telephone_number": "502-458-8989",
            "fax_number": "502-451-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052665",
            "telephone_number": "502-458-8989",
            "fax_number": "502-451-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUSER",
        "first_name": "ALAN",
        "middle_name": "KEITH",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000049285",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200082600",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80001761",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN",
            "identifier": "1059382",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01048197",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.