NPIMap

Organization Active NPI

Kentuckiana Foot & Ankle, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
National Provider Identifier
1689343303
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
8017 Bardstown Rd Ste 106
Louisville, KY 40291-3439
Phone
(502) 239-6600
Fax
(502) 239-6177
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 Administrator
Title
Owner
Phone
(502) 447-4500

Specialties & licenses 1

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

Addresses

Primary practice location

8017 Bardstown Rd Ste 106
Louisville, KY 40291-3439

Mailing address

8017 Bardstown Rd Ste 106
Louisville, KY 40291-3439
Phone (502) 239-6600

Other names 1

  • TIPTON & UNROE 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
O20211112002311 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.

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": "1689343303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8017 BARDSTOWN RD STE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402913439",
            "telephone_number": "502-239-6600",
            "fax_number": "502-239-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8017 BARDSTOWN RD STE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402913439",
            "telephone_number": "502-239-6600",
            "fax_number": "502-239-6177"
        }
    ],
    "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": "ADMINISTRATOR",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "ABDUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-447-4500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIPTON & UNROE 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.