NPIMap

Individual provider Active NPI

Kyle D Lindow, DPM

  • Foot & Ankle Surgery Podiatrist
  • Slaughter, LA
National Provider Identifier
1780049494
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
308250 Issued in LA
Practice address
1169 Highway 19 Ste B
Slaughter, LA 70777-3404
Phone
(225) 513-7155
Fax
(225) 250-1407
NPI assigned
Dec 22, 2015
Last updated
May 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 308250 LA Primary

Addresses

Primary practice location

1169 Highway 19 Ste B
Slaughter, LA 70777-3404

Mailing address

1169 Highway 19 Ste B
Slaughter, LA 70777-3404
Phone (225) 513-7155

Other practice location 1

9373 Baringer Foreman Rd Bldg 2
Baton Rouge, LA 70817-6200
Phone (225) 754-8888

Other practice location 2

37292 Market Place Dr Ste B
Prairieville, LA 70769-3487
Phone (225) 513-7155

Other practice location 3

19850 Old Scenic Hwy Ste 300
Zachary, LA 70791-7384
Phone (225) 513-7155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180817001011 LA Practitioner - Podiatry 5395094767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Foot and Ankle Specialty Center LLCGroup PAC ID 4789034919, 2 clinicians

Practice addresses (Care Compare)

1169 La
19 Suite B
Slaughter, LA 70777-0000
Phone (504) 615-1656

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue241
Removal of skin lesions23
Removal of nail tissue499
Removal or shaving of skin growth241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308250LAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Foot and Ankle Specialty Center, LLC Foot & Ankle Surgery CurrentSince Jul 17, 2023 Accepting new patients
Pro Care Health LLC Foot & Ankle Surgery Current Accepting new patients

Locations

4630 Bluebonnet Blvd
Baton Rouge, LA 70809
Phone (225) 295-1027

37292 Market Place Dr
Ste B
Prairieville, LA 70769
Phone (225) 513-7155

1169 Highway 19
#B
Slaughter, LA 70777
Phone (225) 513-7155

19850 Old Scenic Hwy
Ste 300
Zachary, LA 70791
Phone (225) 513-7155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3681/brand/10/csg/202/fhir/r4

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1780049494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 HIGHWAY 19 STE B",
            "city": "SLAUGHTER",
            "state": "LA",
            "postal_code": "707773404",
            "telephone_number": "225-513-7155",
            "fax_number": "225-250-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 HIGHWAY 19 STE B",
            "city": "SLAUGHTER",
            "state": "LA",
            "postal_code": "707773404",
            "telephone_number": "225-513-7155",
            "fax_number": "225-250-1407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9373 Baringer Foreman Rd Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708176200",
            "country_code": "US",
            "telephone_number": "225-754-8888",
            "fax_number": "225-755-2147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37292 Market Place Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Prairieville",
            "state": "LA",
            "postal_code": "707693487",
            "country_code": "US",
            "telephone_number": "225-513-7155",
            "fax_number": "225-250-1407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19850 Old Scenic Hwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Zachary",
            "state": "LA",
            "postal_code": "707917384",
            "country_code": "US",
            "telephone_number": "225-513-7155",
            "fax_number": "225-250-1407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDOW",
        "first_name": "KYLE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-22",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "308250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slaughter, LA

Sources for this page

Verify at the official NPI Registry.