Individual provider Active NPI

John Samuel Oldham Jr., M.D.

  • Surgery Physician
  • Louisville, KY
National Provider Identifier
1699817429
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35422 Issued in KY
Practice address
950 Breckenridge LN Ste 10
Louisville, KY 40207-5931
Phone
(502) 894-9499
Fax
(502) 894-9595
NPI assigned
Feb 12, 2007
Last updated
May 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35422 KY Primary

Addresses

Primary practice location

950 Breckenridge LN Ste 10
Louisville, KY 40207-5931

Mailing address

950 Breckenridge LN Ste 10
Louisville, KY 40207-5931
Phone (502) 894-9499

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joldham9690@bhkydirect.com

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000555 KY Practitioner - General Surgery 2769376219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1023 New Moody Lane
Suite 100
La Grange, KY 40031-9182
Phone (502) 222-6008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35422KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Healthcare System Inc. Past Accepting new patients
Bluegrass Bariatric Surgical Associates, PLLC Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joldham9690@bhkydirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1699817429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 BRECKENRIDGE LN STE 10",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075931",
            "telephone_number": "502-894-9499",
            "fax_number": "502-894-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 BRECKENRIDGE LN STE 10",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075931",
            "telephone_number": "502-894-9499",
            "fax_number": "502-894-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "JOHN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "35422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joldham9690@bhkydirect.com",
            "affiliation": "N",
            "address_1": "4003 Kresge Way Ste 221",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.