Active NPI
Jonathan Tucker Prime
- Foot & Ankle Surgery Podiatrist
- New Albany, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07001467A
- Practice address
- 2315 Green Valley Rd Ste 200
New Albany, IN 47150-4690 - Phone
- (812) 949-1002
- NPI assigned
- Jun 28, 2021
- Sex
- Male
- 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 | 269628 | KY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07001467A | IN | Primary |
Addresses
Primary practice location
2315 Green Valley Rd Ste 200
New Albany, IN 47150-4690
Mailing address
2315 Green Valley Rd Ste 200
New Albany, IN 47150-4690
Phone (812) 949-1002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- 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
- William M. Scholl College of Podiatric Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (812) 949-1002
1504 Arnold Palmer Blvd
Louisville, KY 40245-5191
Phone (812) 949-1002
2315 Green Valley Rd
Suite 200
New Albany, IN 47150-4690
Phone (812) 949-1002
4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (812) 949-1002
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 188 |
| Removal of skin lesions | 13 |
| Removal of nail tissue | 396 |
| Removal or shaving of skin growth | 112 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269628 | KY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ansert Foot & Ankle Center P.S.C. | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
2315 Green Valley Rd
Ste 200
New Albany, IN 47150
Phone (812) 949-1002
2315 Green Valley Rd
Ste 2
New Albany, IN 47150
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.
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
-
- General Acute Care Hospital
- Jeffersonville, IN
- NPI 1134186315
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1669042172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 GREEN VALLEY RD STE 200",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504690",
"telephone_number": "812-949-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 GREEN VALLEY RD STE 200",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504690",
"telephone_number": "812-949-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIME",
"first_name": "JONATHAN",
"middle_name": "TUCKER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-28",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "KY",
"license": "269628",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07001467A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.