Individual provider Active NPI

Stacie Grossfeld, M.D.

  • Specialist
  • Louisville, KY
National Provider Identifier
1710980842
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
33575 Issued in KY
Practice address
4001 Kresge Way
Ste 330
Louisville, KY 40207-4640
Phone
(502) 212-2663
Fax
(502) 212-2004
NPI assigned
May 23, 2005
Last updated
Sep 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 33575 KY Primary

Addresses

Primary practice location

4001 Kresge Way
Ste 330
Louisville, KY 40207-4640

Mailing address

4001 Kresge Way
Ste 330
Louisville, KY 40207-4640
Phone (502) 212-2663

Other identifiers 1

IdentifierTypeStateIssuer
1299470001OtherKYPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050815000053 KY Practitioner - Orthopedic Surgery 2769389642 Reassigns benefits to 1 organization
I20140730002831 IN Practitioner - Orthopedic Surgery 2769389642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Louisville School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, shared by 19 NPIs, 339 clinicians
Orthopaedic Specialists PLLCGroup PAC ID 3678470556, 3 clinicians

Practice addresses (Care Compare)

12613 Taylorsville Rd
Louisville, KY 40299-5496
Phone (502) 267-1480

4001 Kresge Way
Louisville, KY 40207-4640
Phone 5022122663208

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.98 of 100Reported as group
Quality
48.05
Improvement activities
40
Cost
55.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33575KYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Specialists PLLC Specialist CurrentSince Mar 1, 2000 Accepting new patients
Orthopaedic Specialists PLLC Current Accepting new patients

Locations

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

6106 Crestwood Sta
#B
Crestwood, KY 40014

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

225 Abraham Flexner Way
Ste 402
Louisville, KY 40202
Phone (502) 568-6616

3 Audubon Plaza Dr
Ste 620
Louisville, KY 40217
Phone (502) 587-9140

4001 Kresge Way
Ste 330
Louisville, KY 40207
Phone (502) 585-4376

4003 Kresge Way
Ste 228
Louisville, KY 40207
Phone (502) 893-5100

4003 Kresge Way
Ste 300
St Matthews, KY 40207
Phone (502) 893-7710

Interoperability endpoints

  • Direct secure messaging: staciegrossfeld@ospllc.allscriptsdirect.net

Organizations & group practices 2

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1710980842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 KRESGE WAY",
            "address_2": "STE 330",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074640",
            "telephone_number": "502-212-2663",
            "fax_number": "502-212-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KRESGE WAY",
            "address_2": "STE 330",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074640",
            "telephone_number": "502-212-2663",
            "fax_number": "502-212-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSFELD",
        "first_name": "STACIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "33575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1299470001",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.