Sports Medicine Surgical Specialists PLLC
NPI 1689070559 · Foot & Ankle Surgery Podiatrist · Louisville, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sports Medicine Surgical Specialists PLLC is a Foot & Ankle Surgery Podiatrist organization in Louisville, KY (NPI 1689070559).
Provider details
- NPI number
- 1689070559
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Keith Myrick, Sole Owner(502) 721-8288
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Kentuckiana Foot and Ankle Sports Medicine
- Doing business as
- Kentuckiana Foot and Ankle Sports Medicine
Additional practice locations (2)
- 200 Missouri Ave Ste aJeffersonville, IN 47130-3014Phone: (812) 920-0055Fax: (812) 920-0060
- 210 E Gray St Ste 820Louisville, KY 40202-3900Phone: (502) 585-3668Fax: (502) 585-3662
Registry dates
- Enumerated
- 2014-11-05
- Last updated
- 2021-12-05
- Certified
- 2021-12-05
Frequently asked questions
- What is Sports Medicine Surgical Specialists PLLC's NPI number?
- Sports Medicine Surgical Specialists PLLC's National Provider Identifier (NPI) is 1689070559, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sports Medicine Surgical Specialists PLLC?
- Sports Medicine Surgical Specialists PLLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Sports Medicine Surgical Specialists PLLC located?
- Sports Medicine Surgical Specialists PLLC's practice location on file with NPPES is 6400 Dutchmans Pkwy Ste 215, Louisville, KY 40205-3343.
- What is Sports Medicine Surgical Specialists PLLC's phone number?
- The practice phone number listed in the NPPES registry for Sports Medicine Surgical Specialists PLLC is (502) 721-8288.
- Does Sports Medicine Surgical Specialists PLLC accept Medicare?
- Sports Medicine Surgical Specialists PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sports Medicine Surgical Specialists PLLC?
- The authorized official listed on Sports Medicine Surgical Specialists PLLC's NPPES record is Keith Myrick, Sole Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sports Medicine Surgical Specialists PLLC's NPI active?
- Yes — Sports Medicine Surgical Specialists PLLC's NPI (1689070559) is active in the NPPES registry as of the last update on 2021-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.