Individual provider Active NPI

Robert S Kelsey, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Dubuque, IA
National Provider Identifier
1053314740
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
632 Issued in IA
Practice address
1500 Delhi St
Ste 2200
Dubuque, IA 52001-6358
Phone
(563) 557-5930
Fax
(563) 557-5936
NPI assigned
May 27, 2005
Last updated
May 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 632 IA Primary

Addresses

Primary practice location

1500 Delhi St
Ste 2200
Dubuque, IA 52001-6358

Mailing address

1500 Delhi St
Suite 2200
Dubuque, IA 52001-6358
Phone (563) 557-5930

Other identifiers 1

IdentifierTypeStateIssuer
0167551MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100215000790 IA Practitioner - Podiatry 7911070297 Reassigns benefits to 1 organization
I20250429003118 WI Practitioner - Podiatry 7911070297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubuque Podiatry PCGroup PAC ID 4385536606, 5 clinicians

Practice addresses (Care Compare)

1500 Delhi St
Suite 2200
Dubuque, IA 52001-6359
Phone (563) 557-5930

1500 Delhi St
Suite 2200
Dubuque, IA 52001-6391

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue95
Removal of skin lesions1-10
Removal of nail tissue2016
Removal or shaving of skin growth387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
632IAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Dubuque Podiatry, PC Foot & Ankle Surgery CurrentSince Apr 13, 1998 Accepting new patients
Dubuque Podiatry PC Foot & Ankle Surgery CurrentSince Apr 13, 1998 Accepting new patients

Locations

1500 Delhi St
Dubuque, IA 52001

1500 Delhi St
Ste 2200
Dubuque, IA 52001
Phone (563) 557-5930

420 1st Ave E
Dyersville, IA 52040
Phone (319) 875-7937

601 Hospital Dr
Maquoketa, IA 52060
Phone (563) 652-2474

1 Medical Center Dr
Galena, IL 61036
Phone (815) 776-7381

454 Badger Rd
Hazel Green, WI 53811
Phone (563) 557-5930

Organizations & group practices 2

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 2

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1053314740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 DELHI ST",
            "address_2": "SUITE 2200",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016358",
            "telephone_number": "563-557-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DELHI ST",
            "address_2": "STE 2200",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016358",
            "telephone_number": "563-557-5930",
            "fax_number": "563-557-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167551",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.