Active NPI
Jason Kelty, D.P.M.
- Podiatrist
- Tallmadge, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36003762
- Practice address
- 116 East Ave
Suite 4
Tallmadge, OH 44278-2300 - Phone
- (216) 245-1290
- Fax
- (866) 571-4884
- NPI assigned
- Apr 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36003762 | OH | Primary |
Addresses
Primary practice location
116 East Ave
Suite 4
Tallmadge, OH 44278-2300
Mailing address
3733 Park East Dr
Suite 240
Beachwood, OH 44122-4338
Phone (216) 672-4330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160914002419 | OH | Practitioner - Podiatry | 3577859750 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Podiatry Inc
Practice addresses (Care Compare)
3733 Park E Dr
Suite 260
Beachwood, OH 44122-4337
Phone (216) 245-1290
Hospital & facility affiliations
- South Pointe Hospital
- Summa Western Reserve Hospital
- Hillcrest Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.53 of 100
- Quality
- 83.79
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 71 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 717 |
| Removal or shaving of skin growth | 103 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36003762 | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry Inc | Podiatrist | Current | Accepting new patients |
| Podiatry Inc | Podiatrist | Current | Accepting new patients |
Locations
3733 Park East Dr
Ste 260
Beachwood, OH 44122
3733 Park East Dr
Ste 240
Beachwood, OH 44122
Phone (216) 378-2905
1236 Som Center Rd
Mayfield Heights, OH 44124
Phone (440) 681-2220
8382 Mentor Ave
Mentor, OH 44060
116 East Ave
Ste 4
Tallmadge, OH 44278
Phone (330) 310-6938
Organizations & group practices 7
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.
-
- Podiatrist
- Tallmadge, OH
- NPI 1710853668
-
- Podiatrist
- Blue Ash, OH
- NPI 1205766292
-
- Podiatrist
- Mentor, OH
- NPI 1467328336
-
- Podiatrist
- Troy, OH
- NPI 1689504649
-
- Podiatrist
- Cincinnati, OH
- NPI 1902736945
-
- Podiatrist
- Mayfield Heights, OH
- NPI 1902772874
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warrensville Heights, OH
- NPI 1235183542
Hospital
-
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
Hospital
-
- General Acute Care Hospital
- Cuyahoga Falls, OH
- NPI 1518104199
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467849600000",
"number": "1043654007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3733 PARK EAST DR",
"address_2": "SUITE 240",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441224338",
"telephone_number": "216-672-4330",
"fax_number": "866-571-4884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 EAST AVE",
"address_2": "SUITE 4",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "442782300",
"telephone_number": "216-245-1290",
"fax_number": "866-571-4884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELTY",
"first_name": "JASON",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-22",
"last_updated": "2016-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36003762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallmadge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.