Jeffrey Kleis, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E4240 Issued in CA

Practice address

1503 S Coast Dr Ste 317
Costa Mesa, CA 92626-1528

Phone

(866) 333-8710

Fax

(714) 434-2665

NPI assigned

Jun 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Podiatry

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey Kleis DPM IncGroup PAC ID 3870770043, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jeffrey.kleis@rccc.eclinicaldirectplus.com
• Direct secure messaging: jeffreykleis@hcpca.allscriptsdirect.net
• FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAD

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.

• California Podiatry Associates Inc

  • Podiatrist
  • Costa Mesa, CA
  • NPI 1114225950
  Medicare reassignment Care Compare group NPD
• The Roads Foundation, Inc

  • Clinic/Center
  • Long Beach, CA
  • NPI 1669812392
  Medicare reassignment NPD
• The Roads Foundation, Inc.

  • Community Health Clinic/Center
  • Compton, CA
  • NPI 1508278359
  NPD
• Universal Care

  • Pediatrics Physician
  • Long Beach, CA
  • NPI 1376632877
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1043216856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 S COAST DR STE 317",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261528",
            "telephone_number": "866-333-8710",
            "fax_number": "714-434-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 S COAST DR STE 317",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261528",
            "telephone_number": "866-333-8710",
            "fax_number": "714-434-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIS",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Kitinoja
• KKB Health Solutions
• Mary Carol Klein, LCSW
• Hanna Rachel Kleiner, MA NCC LPC-MHSP
• Raymond Edward Kleinfelder III, D.O.
• Debra Joy Klipper, MSNNP
• Charissa M. Knihtila, BCBA
• Chris Knox, CADC I
• Salisha Mary Knox
• Tommy Joe Knox, DC

• Podiatrist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.