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BLUEGRASS PODIATRIC MANAGEMENT LLC
NPI 1720477672
Podiatrist in Louisville, KY

Active since January 15, 2015
9800 SHELBYVILLE RD STE 202, LOUISVILLE, KY 40223(502) 536-7224(888) 419-6943 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2024, Feb 9, 2023, Mar 22, 2016 (3 updates tracked since 2016).

About Bluegrass Podiatric Management Llc NPPES

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

BLUEGRASS PODIATRIC MANAGEMENT LLC (NPI 1720477672) is a healthcare organization registered as a podiatrist in Louisville, Kentucky and active in the NPI registry since January 2015. The organization lists Angie Lasorella, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1720477672
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameBLUEGRASS PODIATRIC MANAGEMENT LLC
Location Address9800 SHELBYVILLE RD STE 202Louisville, KY 40223-5440
Mailing Address178 N Ewing AveLouisville, KY 40206-2459 · (502) 554-3792
Phone(502) 536-7224
Fax(888) 419-6943
Organization SubpartNo
Authorized OfficialAngie LasorellaCredentialing Supervisor · (513) 829-9333
Enumeration DateJanuary 15, 2015
Last NPPES UpdateOctober 29, 20243 updates tracked since enumeration
NPPES CertifiedOctober 29, 2024
✔ NPI 1720477672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedNurse PractitionerTaxonomy 363L00000X
9800 SHELBYVILLE RD STE 202, Louisville, KY 40223
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Other Identifiers 1

Medicaid7100335760KY

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 Anthem Blue Cross and Blue Shield.Insurance ›

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 Bluegrass Podiatric Management LLC's NPI number?

The NPI number for Bluegrass Podiatric Management LLC is 1720477672. It was assigned to this organization in the NPPES registry on January 15, 2015.

Where is Bluegrass Podiatric Management LLC located?

Bluegrass Podiatric Management LLC is located at 9800 Shelbyville Rd Ste 202, Louisville, KY 40223. The listed phone number is (502) 536-7224.

What is Bluegrass Podiatric Management LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

What insurance does Bluegrass Podiatric Management LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Bluegrass Podiatric Management 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 Bluegrass Podiatric Management LLC was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.