Bluegrass Podiatric Management LLC
NPI 1720477672 · Podiatrist · Louisville, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bluegrass Podiatric Management LLC is a Podiatrist organization in Louisville, KY (NPI 1720477672).
Provider details
- NPI number
- 1720477672
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Angie Lasorella, Credentialing Supervisor(513) 829-9333
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
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
1 documented practice location
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
Registry dates
- Enumerated
- 2015-01-15
- Last updated
- 2024-10-29
- Certified
- 2024-10-29
Frequently asked questions
- What is Bluegrass Podiatric Management LLC's NPI number?
- Bluegrass Podiatric Management LLC's National Provider Identifier (NPI) is 1720477672, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bluegrass Podiatric Management LLC?
- Bluegrass Podiatric Management LLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Bluegrass Podiatric Management LLC located?
- Bluegrass Podiatric Management LLC's practice location on file with NPPES is 9800 Shelbyville Rd Ste 202, Louisville, KY 40223-5440.
- What is Bluegrass Podiatric Management LLC's phone number?
- The practice phone number listed in the NPPES registry for Bluegrass Podiatric Management LLC is (502) 536-7224.
- Does Bluegrass Podiatric Management LLC accept Medicare?
- Bluegrass Podiatric Management LLC 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 Bluegrass Podiatric Management LLC?
- The authorized official listed on Bluegrass Podiatric Management LLC's NPPES record is Angie Lasorella, Credentialing Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bluegrass Podiatric Management LLC's NPI active?
- Yes — Bluegrass Podiatric Management LLC's NPI (1720477672) is active in the NPPES registry as of the last update on 2024-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.