Individual provider Active NPI

Jonathan Mark Kletz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
National Provider Identifier
1104879998
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1102 Issued in TX
Practice address
6760 Abrams Rd
Suite 203
Dallas, TX 75231-0246
Phone
(214) 340-8885
Fax
(214) 340-4046
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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 1102 TX Primary

Addresses

Primary practice location

6760 Abrams Rd
Suite 203
Dallas, TX 75231-0246

Mailing address

6760 Abrams Rd
Suite 203
Dallas, TX 75231-0246
Phone (214) 340-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040429001446 TX Practitioner - Podiatry 7810984861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatric Medical Partners of Texas PAGroup PAC ID 2860544749, 18 clinicians

Practice addresses (Care Compare)

166 Heritage Pkwy
Gun Barrel City, TX 75156-3712
Phone (903) 887-4341

514 E Corsicana St
Suite 3
Athens, TX 75751-2506
Phone (903) 677-9090

5940 W Parker Rd
Suite 202
Plano, TX 75093-6404
Phone (972) 781-1970

6760 Abrams Rd
Suite 203
Dallas, TX 75231-0246
Phone (214) 340-8885

Hospital & facility affiliations

  • Ut Health East Texas Athens Hospital Hospital, Athens, TX, CCN 450389
  • Texas Health Presbyterian Hospital Kaufman Hospital, Kaufman, TX, CCN 450292

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 tissue20
Removal of skin lesions1-10
Removal of nail tissue324
Removal or shaving of skin growth138
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1102TXMDFoot & Ankle Surgery Podiatrist

Organizations & group practices 1

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.

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1104879998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 ABRAMS RD",
            "address_2": "SUITE 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310246",
            "telephone_number": "214-340-8885",
            "fax_number": "214-340-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 ABRAMS RD",
            "address_2": "SUITE 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310246",
            "telephone_number": "214-340-8885",
            "fax_number": "214-340-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLETZ",
        "first_name": "JONATHAN",
        "middle_name": "MARK",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.