Individual provider Active NPI

Kendale L Ritchey, MD

  • Podiatrist
  • Knoxville, TN
National Provider Identifier
1043296593
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM487 Issued in TN
Practice address
PO Box 32569
Knoxville, TN 37930-2569
Phone
(865) 694-0062
Fax
(865) 694-7907
NPI assigned
Dec 16, 2005
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM487 TN Primary

Addresses

Primary practice location

PO Box 32569
Knoxville, TN 37930-2569

Mailing address

PO Box 32569
Knoxville, TN 37930-2569
Phone (865) 694-0062

Other identifiers 2

IdentifierTypeStateIssuer
3352563MedicaidTN
480026875OtherTNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050620000703 TN Practitioner - Podiatry 3375587462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jsphymgmt PCGroup PAC ID 5991139818, 3 clinicians

Practice addresses (Care Compare)

6450 Kingston Pike
Knoxville, TN 37919-4833
Phone (865) 999-5988

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue103
Removal of skin lesions44
Removal of nail tissue383
Removal or shaving of skin growth166
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
487TNMDBehavioral Analyst
DPM487TNMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jsphymgmt PC Podiatrist CurrentSince Jul 13, 2022 Accepting new patients
Sandberg Foot Health Center PC Podiatrist CurrentSince May 14, 2016 Accepting new patients
Sandberg Foot Health Center PC Podiatrist CurrentSince May 14, 2016 Accepting new patients

Locations

6450 Kingston Pike
Knoxville, TN 37919
Phone (844) 433-5390

9301 Park West Blvd
Ste A2
Knoxville, TN 37923
Phone (865) 693-5450

9330 Park West Blvd
Ste 300
Knoxville, TN 37923
Phone (865) 523-5655

Interoperability endpoints

  • Direct secure messaging: heelexpodiatry.kendaleritchey@154029.advancedmd-direct.com

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1043296593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32569",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379302569",
            "telephone_number": "865-694-0062",
            "fax_number": "865-694-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 32569",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379302569",
            "telephone_number": "865-694-0062",
            "fax_number": "865-694-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCHEY",
        "first_name": "KENDALE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3352563",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480026875",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.