Individual provider Active NPI

Joseph E Kiefer, D.P.M.

  • Podiatrist
  • Pensacola, FL
National Provider Identifier
1003904467
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 1874 Issued in FL
Practice address
1851 N 9TH Ave.
Pensacola, FL 32503-4535
Phone
(850) 434-9867
Fax
(850) 434-9878
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO 1874 FL Primary

Addresses

Primary practice location

1851 N 9TH Ave.
Pensacola, FL 32503-4535

Mailing address

1851 N 9TH Ave.
Pensacola, FL 32503-4535
Phone (850) 434-9867

Other identifiers 2

IdentifierTypeStateIssuer
593567914OtherFLTAX ID
65020OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031209000728 FL Practitioner - Podiatry 9335045541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Podiatry of Northwest Florida PAGroup PAC ID 8224934369, 2 clinicians

Practice addresses (Care Compare)

1851 N 9TH Ave
Pensacola, FL 32503-5201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue556
Removal of skin lesions153
Removal of nail tissue890
Removal or shaving of skin growth666
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 1874FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Podiatry of Northwest Florida PA Podiatrist CurrentSince Dec 12, 1999 Accepting new patients

Locations

1851 N 9th Ave
Ste A
Pensacola, FL 32503
Phone (850) 434-9867

1851 N 9th Ave
Pensacola, FL 32503
Phone (850) 434-9867

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1003904467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N 9TH AVE.",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034535",
            "telephone_number": "850-434-9867",
            "fax_number": "850-434-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N 9TH AVE.",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034535",
            "telephone_number": "850-434-9867",
            "fax_number": "850-434-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFER",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 1874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "593567914",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65020",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.