NPIMap

Individual provider Active NPI

Charles Abraham Kelman, D.P.M

  • Podiatrist
  • Westlake Village, CA
National Provider Identifier
1063490738
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E2279 Issued in CA
Practice address
32144 Agoura Rd
Ste 105
Westlake Village, CA 91361
Phone
(818) 706-1924
Fax
(818) 706-1369
NPI assigned
Jan 4, 2006
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E2279 CA Primary

Addresses

Primary practice location

32144 Agoura Rd
Ste 105
Westlake Village, CA 91361

Mailing address

2121 Wilshire Blvd
Ste 101
Santa Monica, CA 90403-5742
Phone (310) 828-0011

Other identifiers 2

IdentifierTypeStateIssuer
GR0000440MedicaidCA
953499550OtherTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101019000876 CA Practitioner - Podiatry 3971656851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2121 Wilshire Blvd
Suite 101
Santa Monica, CA 90403-5742
Phone (310) 828-0011

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of skin lesions1-10
Removal of nail tissue364
Removal or shaving of skin growth268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2279CAMDPodiatrist
2279CAMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Foot and Ankle Institute a Podiatric Surgical Center Podiatrist CurrentSince Jul 1, 2018 Accepting new patients
University Foot and Ankle Institute a Podiatric Surgical Center Podiatrist Current Accepting new patients
University Foot & Ankle Institute Podiactric Surgical Center CurrentSince Jul 1, 2018 Accepting new patients
West Hills Hospital Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
UCLA Medical Group Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

10515 Balboa Blvd
Ste 140
Granada Hills, CA 91344
Phone (818) 349-0339

5230 Pacific Concourse Dr
Ste 100
Los Angeles, CA 90045
Phone (310) 297-9221

2121 Wilshire Blvd
Ste 101
Santa Monica, CA 90403
Phone 3108280011216

32144 Agoura Rd
Ste 105
Westlake Vlg, CA 91361
Phone (818) 706-1924

Interoperability endpoints

  • Direct secure messaging: drkelmanfootankleinstitute.com@weil.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1063490738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD",
            "address_2": "STE 101",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035742",
            "telephone_number": "310-828-0011",
            "fax_number": "310-828-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD",
            "address_2": "STE 105",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "818-706-1924",
            "fax_number": "818-706-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELMAN",
        "first_name": "CHARLES",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0000440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "953499550",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.