NEW SOURCE MEDICAL, LLC
NPI 1700425816
Podiatrist in Louisville, KY
About New Source Medical, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW SOURCE MEDICAL, LLC (NPI 1700425816) is a healthcare organization registered as a podiatrist in Louisville, Kentucky and active in the NPI registry since January 2020. The organization lists Kevin A Mckim, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
New Source Medical, Llc 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 New Source Medical, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 New Source Medical, LLC's NPI number?
The NPI number for New Source Medical, LLC is 1700425816. It was assigned to this organization in the NPPES registry on January 6, 2020.
Where is New Source Medical, LLC located?
New Source Medical, LLC is located at 9913 Shelbyville Rd Ste 203, Louisville, KY 40223. The listed phone number is (502) 261-0050.
What is New Source Medical, LLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is New Source Medical, LLC enrolled in Medicare?
Yes. New Source Medical, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through New Source Medical, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to New Source Medical, LLC. 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 New Source Medical, LLC was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# New Source Medical, Llc · NPI 1700425816
Podiatrist organization in Louisville, Kentucky. Organization record, active in the CMS NPPES registry since January 6, 2020.
## Identity
- **NPI:** 1700425816 (Entity type: Organization)
- **Enumerated:** January 6, 2020
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Kevin Mckim, CEO
## Practice location
- **Address:** 9913 SHELBYVILLE RD STE 203, Louisville, KY 40223-2907
- **Phone:** (502) 261-0050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1700425816) · Data from the CMS NPPES public registry.