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KENTUCKIANA SURGICAL SPECIALISTS PSC
NPI 1033140579
Specialist in Louisville, KY

Active since July 05, 2006
3900 KRESGE WAY STE 44, LOUISVILLE, KY 40207(502) 897-6700(502) 897-6704 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 13, 2023, Jul 21, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About Kentuckiana Surgical Specialists Psc NPPES

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

KENTUCKIANA SURGICAL SPECIALISTS PSC (NPI 1033140579) is a healthcare organization registered as a specialist in Louisville, Kentucky and active in the NPI registry since July 2006. The organization lists Kevin A O'koon, Owner, as its authorized official.

NPPES Registry Identity

NPI1033140579
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKENTUCKIANA SURGICAL SPECIALISTS PSC
Location Address3900 KRESGE WAY STE 44Louisville, KY 40207-4681
Mailing Address3900 Kresge Way, Suite 44Louisville, KY 40207-4660 · (502) 897-6700 · Fax (502) 897-6704
Phone(502) 897-6700
Fax(502) 897-6704
Organization SubpartNo
Authorized OfficialKevin A O'koonOwner · (502) 897-6700
Enumeration DateJuly 5, 2006
Last NPPES UpdateDecember 13, 20233 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
✔ NPI 1033140579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3900 KRESGE WAY STE 44, Louisville, KY 40207
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Other Identifiers 2

Medicaid1172499KY
Medicaid65933244KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kentuckiana Surgical Specialists Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kentuckiana Surgical Specialists Psc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin O'koon, M.D.
General Surgery
NPI 1932106465
3900 KRESGE WAY STE 44
Louisville, KY 40207
(502) 897-6700
✔ PECOSSame address

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 Kentuckiana Surgical Specialists Psc's NPI number?

The NPI number for Kentuckiana Surgical Specialists Psc is 1033140579. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Kentuckiana Surgical Specialists Psc located?

Kentuckiana Surgical Specialists Psc is located at 3900 Kresge Way Ste 44, Louisville, KY 40207. The listed phone number is (502) 897-6700.

What is Kentuckiana Surgical Specialists Psc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kentuckiana Surgical Specialists Psc enrolled in Medicare?

Yes. Kentuckiana Surgical Specialists Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kentuckiana Surgical Specialists Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Kentuckiana Surgical Specialists Psc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kentuckiana Surgical Specialists Psc was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.