Individual provider Active NPI

Gordon J Kleinpell, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lehigh Acres, FL
National Provider Identifier
1003890054
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2052 Issued in FL
Practice address
2814 Lee Blvd
Suite 2
Lehigh Acres, FL 33971-1567
Phone
(239) 481-7000
Fax
(239) 481-8150
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO2052 FL Primary

Addresses

Primary practice location

2814 Lee Blvd
Suite 2
Lehigh Acres, FL 33971-1567

Mailing address

8851 Boardroom Cir
Ft Myers, FL 33919-4888
Phone (239) 481-7000

Other identifiers 2

IdentifierTypeStateIssuer
1274280001OtherFLMEDICARE DME
4800015521OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2052FLMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1003890054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 BOARDROOM CIR",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339194888",
            "telephone_number": "239-481-7000",
            "fax_number": "239-481-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 LEE BLVD",
            "address_2": "SUITE 2",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711567",
            "telephone_number": "239-481-7000",
            "fax_number": "239-481-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINPELL",
        "first_name": "GORDON",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "1274280001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "4800015521",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.