KENTUCKY JOINT SPECIALISTS LLC
NPI 1013670173
Clinic/Center - Multi-Specialty in Louisville, KY

Active since October 15, 2021
4010 DUPONT CIR STE 310, LOUISVILLE, KY 40207(502) 771-5432(502) 771-5430 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Oct 15, 2021 (2 updates tracked since 2021).

About Kentucky Joint Specialists Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENTUCKY JOINT SPECIALISTS LLC (NPI 1013670173) is a healthcare organization registered as a multi-specialty in Louisville, Kentucky and active in the NPI registry since October 2021. The organization lists Kenneth Hartog, Owner, as its authorized official.

NPPES Registry Identity

NPI1013670173
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameKENTUCKY JOINT SPECIALISTS LLC
Location Address4010 DUPONT CIR STE 310Louisville, KY 40207-4834
Mailing Address4010 Dupont Cir Ste 310Louisville, KY 40207-4834 · (502) 771-5432 · Fax (502) 771-5430
Fax(502) 771-5430
Organization SubpartNo
Authorized OfficialKenneth HartogOwner · (502) 771-5432
Enumeration DateOctober 15, 2021
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPPES CertifiedJuly 21, 2022
✔ NPI 1013670173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4010 DUPONT CIR STE 310, Louisville, KY 40207

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kentucky Joint Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20211228000596Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Kentucky Joint Specialists LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Physical Therapist in Private Practice
NPI 1588702724
912 DUPONT RD
Louisville, KY 40207
(502) 594-8757
✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1457839102
506 EXECUTIVE PARK
Louisville, KY 40207
(502) 822-6603
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1710502703
10606 HICKORY GROVE DR
Louisville, KY 40291
(502) 415-2742
✔ PECOS8.7 mi
Family Practice
NPI 1093058463
23693B CALABASAS RD STE 100
Calabasas, CA 91302
(818) 493-7588
✔ PECOS1,856 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kentucky Joint Specialists LLC's NPI number?

The NPI number for Kentucky Joint Specialists LLC is 1013670173. It was assigned to this organization in the NPPES registry on October 15, 2021.

Where is Kentucky Joint Specialists LLC located?

Kentucky Joint Specialists LLC is located at 4010 Dupont Cir Ste 310, Louisville, KY 40207. The listed phone number is (502) 771-5432.

What is Kentucky Joint Specialists LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Kentucky Joint Specialists LLC enrolled in Medicare?

Yes. Kentucky Joint Specialists LLC is registered in the Medicare PECOS enrollment system.

When is Kentucky Joint Specialists LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kentucky Joint Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Kentucky Joint Specialists LLC, in Family Practice, Nurse Practitioner and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kentucky Joint Specialists LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Kentucky Joint Specialists LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kentucky Joint Specialists LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.