Active NPI
Judy Nonglak Outsa, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Louisville, KY
National Provider Identifier
1821023250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 244081
- Practice address
- 6407 Preston Hwy
Suite #1
Louisville, KY 40219-1850 - Phone
- (502) 409-5580
- Fax
- (502) 409-5582
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 244081 | KY | Primary |
Addresses
Primary practice location
6407 Preston Hwy
Suite #1
Louisville, KY 40219-1850
Mailing address
6407 Preston Hwy
#1
Louisville, KY 40219-1850
Phone (502) 409-5580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100124330 | Medicaid | KY |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6407 Preston Hwy
Suite 1
Louisville, KY 40219-1851
Phone (502) 409-5580
Hospital & facility affiliations
- Vna Health at Home
- Norton Hospitals, Inc
- Baptist Health Louisville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 214 |
| Removal of skin lesions | 13 |
| Removal of nail tissue | 262 |
| Removal or shaving of skin growth | 58 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Care, PSC | Foot & Ankle Surgery | Current | Accepting new patients |
| Foot and Ankle Care, PSC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
6407 Preston Hwy
Ste 1
Louisville, KY 40219
Phone (502) 409-5580
Interoperability endpoints
- judy.outsa@faacp-ky.direct.office.nextgen.com
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 and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Louisville, KY
- NPI 1740509025
-
- Foot & Ankle Surgery Podiatrist
- Louisville, KY
- NPI 1760733216
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1831195908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1821023250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6407 PRESTON HWY",
"address_2": "#1",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402191850",
"telephone_number": "502-409-5580",
"fax_number": "502-409-5582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6407 PRESTON HWY",
"address_2": "SUITE #1",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402191850",
"telephone_number": "502-409-5580",
"fax_number": "502-409-5582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUTSA",
"first_name": "JUDY",
"middle_name": "NONGLAK",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "KY",
"license": "244081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100124330",
"state": "KY"
}
],
"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 Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.