ARC KENTUCKY LLC NPI 1669474748

NPI Information

  • NPI: 1669474748
  • Provider Name: ARC KENTUCKY LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: DUPONT SURGERY CENTER
  • CLIA Number: 18D0720227
  • Address: 4004 DUPONT CIR
    LOUISVILLE, KY
    ZIP 40207
  • Phone: (502) 896-6428

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NPI Details

ARC KENTUCKY LLC is an ambulatory surgical clinic center in Louisville, KY. ARC KENTUCKY LLC NPI is 1669474748. The provider is registered as an organization entity type.
The provider Is Doing Business As Dupont Surgery Center.

The provider's business location address is:

4004 DUPONT CIR
LOUISVILLE, KY
ZIP 40207-819
Phone: (502) 896-6428
Fax: (502) 895-6787

The provider's authorized official is Jennifer Boyd Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5954.

The CLIA number assigned to this NPI record is 18D0720227 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Dexamethasone, lacrimal ophthalmic insert, 0.1 mg (HCPCS:J1096)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Removal of membrane of retina (HCPCS:67041)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser (HCPCS:67040)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Destruction of lens tissue using laser (HCPCS:66710)
  • Processing, preserving and transporting corneal tissue (HCPCS:V2785)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Destruction of eye fluid (vitreous) between lens and retina using a laser (HCPCS:67039)
  • Complex repair of detached retina and drainage of eye fluid between lens and retina (HCPCS:67113)
  • Penetrating transplantation of tissue from 1 cornea to other cornea (in pseudophakia) (HCPCS:65755)

The enumeration date for this NPI number is 6/2/2005 and was last updated on 8/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical300070KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
136001188MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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