Organization Active NPI

Healthcare Initiatives,PLLC

  • Orthopaedic Surgery Physician
  • Louisville, KY
National Provider Identifier
1699891457
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
KY21471 Issued in KY
Legal business name
HEALTHCARE INITIATIVES,PLLC
Practice address
5129 Dixie Hwy Ste 105
Louisville, KY 40216-1729
Phone
(502) 933-9902
Fax
(502) 933-5085
NPI assigned
Mar 22, 2007
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Dr. Alan I Roth, MDNPI 1083612444
Title
Physician/Owner
Phone
(502) 933-9902

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
Orthopaedic Surgery Physician 207X00000X KY21471 KY Primary

Addresses

Primary practice location

5129 Dixie Hwy Ste 105
Louisville, KY 40216-1729

Mailing address

318 Mockingbird Valley Rd
Louisville, KY 40207-1362
Phone (502) 933-9902

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100212000626 KY Part B Supplier - Clinic/Group Practice 0941344097 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Locations

9702 Stonestreet Rd
Ste 304
Louisville, KY 40272
Phone (502) 933-1100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24882/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1699891457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 MOCKINGBIRD VALLEY RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071362",
            "telephone_number": "502-933-9902",
            "fax_number": "502-933-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 DIXIE HWY STE 105",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161729",
            "telephone_number": "502-933-9902",
            "fax_number": "502-933-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE INITIATIVES,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "502-933-9902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "KY21471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 5, 2022; 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.