KENTUCKIANA FOOT AND ANKLE SPORTS MEDICINE
NPI 1689070559
Podiatrist - Foot & Ankle Surgery in Louisville, KY

Q: What is Sports Medicine Surgical Specialists PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since November 05, 2014

6400 DUTCHMANS PKWY STE 215, LOUISVILLE, KY 40205(502) 721-8288(502) 721-8792 Get Directions Write a Review

NPPES record last updated: December 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2021, Jun 2, 2021, Nov 7, 2016 and 1 more (4 updates tracked since 2016).

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About Kentuckiana Foot And Ankle Sports Medicine NPPES

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

KENTUCKIANA FOOT AND ANKLE SPORTS MEDICINE (NPI 1689070559) is a healthcare organization registered as a foot & ankle surgery in Louisville, Kentucky and active in the NPI registry since November 2014. The organization maintains 2 additional practice locations and lists Keith Wellington Myrick, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1689070559

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameSPORTS MEDICINE SURGICAL SPECIALISTS PLLC

Location Address6400 DUTCHMANS PKWY STE 215Louisville, KY 40205-3343

Mailing Address6400 Dutchmans Pkwy, # 215Louisville, KY 40205-3340 · (502) 721-8288 · Fax (502) 721-8792

Phone(502) 721-8288

Fax(502) 721-8792

Organization SubpartNo

Authorized OfficialKeith Wellington MyrickSole Owner · (502) 721-8288

Enumeration DateNovember 5, 2014

Last NPPES UpdateDecember 5, 20214 updates tracked since enumeration

NPPES CertifiedDecember 5, 2021

✔ NPI 1689070559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

6400 DUTCHMANS PKWY STE 215, Louisville, KY 40205

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Other Names 1

Doing Business AsKentuckiana Foot And Ankle Sports Medicine

Secondary Practice Locations 2

Location 1210 E Gray St Ste 820Louisville, KY 40202-3900 · Phone (502) 585-3668 · Fax (502) 585-3662

Location 2200 Missouri Ave Ste AJeffersonville, IN 47130-3014 · Phone (812) 920-0055 · Fax (812) 920-0060

Other Identifiers 1

Medicaid7100333220KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

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 Foot And Ankle Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Kentuckiana Foot And Ankle Sports Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Keith Myrick, D.P.M.

Podiatry

NPI 1063402972

6400 DUTCHMANS PKWY SUITE 215
Louisville, KY 40205

(502) 721-8288

✔ PECOS✔ Accepts MedicareSame address

Scott Rotterman, DPM

Podiatry

NPI 1851731194

6400 DUTCHMANS PKWY STE215
Louisville, KY 40205

(502) 721-8288

✔ PECOS✔ Accepts MedicareSame address

Tyler Tewilliager, DPM

Podiatry

NPI 1295230118

1001 SCHOOL ST
Houma, LA 70360

(985) 868-1540

✔ PECOS✔ Accepts Medicare662 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 Sports Medicine Surgical Specialists PLLC's NPI number?

The NPI number for Sports Medicine Surgical Specialists PLLC is 1689070559. It was assigned to this organization in the NPPES registry on November 5, 2014. The provider is doing business as Kentuckiana Foot And Ankle Sports Medicine.

Where is Sports Medicine Surgical Specialists PLLC located?

Sports Medicine Surgical Specialists PLLC is located at 6400 Dutchmans Pkwy Ste 215, Louisville, KY 40205. The listed phone number is (502) 721-8288.

What is Sports Medicine Surgical Specialists PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Sports Medicine Surgical Specialists PLLC enrolled in Medicare?

Yes. Sports Medicine Surgical Specialists PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sports Medicine Surgical Specialists PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Sports Medicine Surgical Specialists PLLC. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sports Medicine Surgical Specialists PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Sports Medicine Surgical Specialists PLLC 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 Sports Medicine Surgical Specialists PLLC was last updated on December 5, 2021. 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.