New Source Medical, LLC
NPI 1700425816ActiveOrganization· Podiatrist· Louisville, KY
Podiatrist in Louisville, Kentucky, registered in NPPES in January 2020. The authorized official on file is Kevin A. McKim, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700425816 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 6, 2020 |
| Last updated in NPPES | Aug 19, 2026 |
| Certified by provider | Aug 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KY) |
|---|
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