Kenneth G Cesa, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

MA 1622 Issued in MA

Practice address

290 Essex St
Beverly, MA 01915-1944

Phone

(978) 927-0600

Fax

(978) 927-0600

NPI assigned

Sep 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1013901628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 ESSEX ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151944",
            "telephone_number": "978-927-0600",
            "fax_number": "978-927-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ESSEX ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151944",
            "telephone_number": "978-927-0600",
            "fax_number": "978-927-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESA",
        "first_name": "KENNETH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "MA 1622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CEY70699",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0341401",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Rose Catlin, DPT
• Carrissa L Cavanagh-Gilhuly, PSYD
• Eileen Caves, M.A.
• Sophia Teresa Cawlina
• Steve Cellini, B.A.
• Nicole Chadbourne
• James Chafey, MD
• Nicole Chaitman, NP
• Catherine Chalmers, NURSE PRACTITIONER
• Jillian Leigh Chamberland, PA-C

• Podiatrist in Beverly, MA
• Providers in Beverly, MA by specialty
• Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.