Individual provider Active NPI

Brian Przystawski, DPM, PSC

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
National Provider Identifier
1982689949
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
195 Issued in KY
Practice address
4119 Browns LN
BLDG 2
Louisville, KY 40220-1500
Phone
(502) 454-4187
Fax
(502) 454-4235
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07000635 IN
Foot & Ankle Surgery Podiatrist 213ES0103X 195 KY Primary

Addresses

Primary practice location

4119 Browns LN
BLDG 2
Louisville, KY 40220-1500

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0328

Other identifiers 12

IdentifierTypeStateIssuer
000000051908OtherIN COMPREHENSIVE
480027403OtherRAILROAD MEDICARE
611327502OtherHUMANA
9209OtherKYMEDICARE GROUP
611327502OtherTRICARE NORTH
000000051908OtherUNICARE
1054641MedicaidKY
000000051908OtherKYANTHEM
2433700000OtherPASSPORT ADVANTAGE
80001951MedicaidKY
000000051908OtherINANTHEM
215680OtherINMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040616000572 IN Practitioner - Podiatry 9234113325 Reassigns benefits to 1 organization
I20040629000916 KY Practitioner - Podiatry 9234113325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Horizons Physical Therapy Limited PartnershipGroup PAC ID 4183641608, 77 clinicians
University of Louisville Physicians IncGroup PAC ID 3476725599, shared by 5 NPIs, 1,438 clinicians

Practice addresses (Care Compare)

2125 State St
New Albany, IN 47150-4972

234 E Gray St
Louisville, KY 40202-1921
Phone (502) 629-4220

2857 Charlestown Rd
Suite 300
New Albany, IN 47150-0005
Phone (812) 948-0211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue56
Removal of skin lesions1-10
Removal of nail tissue87
Removal or shaving of skin growth20
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0195KYMDProfessional Counselor
07000635INMDFoot & Ankle Surgery Podiatrist
195KYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2025 Accepting new patients
University of Louisville Physicians, Inc Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2024 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

2857 Charlestown Rd
Ste 300
New Albany, IN 47150
Phone (812) 948-0211

4119 Browns Ln
Ste 2
Louisville, KY 40220
Phone (502) 454-4187

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Interoperability endpoints

  • Direct secure messaging: bprzystawski55062@uoflhealth-dm.org

Organizations & group practices 7

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.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1982689949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0328",
            "fax_number": "502-454-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 BROWNS LN",
            "address_2": "BLDG 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201500",
            "telephone_number": "502-454-4187",
            "fax_number": "502-454-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYSTAWSKI",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPM, PSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000635",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN COMPREHENSIVE",
            "identifier": "000000051908",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480027403",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "611327502",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9209",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE NORTH",
            "identifier": "611327502",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "000000051908",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1054641",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000051908",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2433700000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80001951",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000051908",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "215680",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.