Individual provider Active NPI

Kelvin Ogelle, D.P.M

  • Primary Podiatric Medicine Podiatrist
  • Jackson Heights, NY
National Provider Identifier
1114067337
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N005924-1 Issued in NY
Practice address
3711 88TH St
Jackson Heights, NY 11372-7630
Phone
(718) 393-7705
Fax
(718) 446-4547
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X N005924-1 NY Primary

Addresses

Primary practice location

3711 88TH St
Jackson Heights, NY 11372-7630

Mailing address

6 Oak Crest Dr
Highland, NY 12528-2708
Phone (718) 393-7705

Other identifiers 1

IdentifierTypeStateIssuer
P00612404OtherNYRAILROAD MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040218000522 NY Practitioner - Podiatry 0345135398 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Director Services PCGroup PAC ID 0042501116, 79 clinicians
Podiatry Company LLCGroup PAC ID 5890103097, 20 clinicians
Foot Forward Podiatry PCGroup PAC ID 3971995697, 29 clinicians

Practice addresses (Care Compare)

10030 Ditmars Blvd
East Elmhurst, NY 11369-1333
Phone (718) 393-7705

11214 Corona Ave
Corona, NY 11368-4022
Phone (718) 393-7705

4039 Junction Blvd
Corona, NY 11368-2121
Phone (718) 393-7705

50 Sheffield Ave
Brooklyn, NY 11207-2420
Phone (718) 345-2273

563 E Tremont Ave
B
Bronx, NY 10457-4655
Phone (718) 393-7705

620 Sleepy Hollow Rd
Briarcliff Manor, NY 10510-2516
Phone (516) 792-0070

918 James St
Syracuse, NY 13203-2503
Phone (646) 921-0907

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue237
Removal of nail tissue8739
Removal or shaving of skin growth2168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005924-1NYMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Director Services PC CurrentSince May 11, 2025 Accepting new patients
Infinite Medical PC CurrentSince Apr 22, 2022 Accepting new patients
Podiatry Company LLC CurrentSince May 8, 2025 Accepting new patients
Foot Forward Podiatry PC CurrentSince Jul 25, 2022 Accepting new patients
Visiting Medical PC CurrentSince Apr 7, 2024 Accepting new patients
Dr Steven Yale Norman & Dr Mark Jason Aronson LLP Past Accepting new patients
Jasjit K. Pawha, Physician, P.C. PastSince Sep 17, 2013 Accepting new patients

Locations

620 Sleepy Hollow Rd
Briarcliff Manor, NY 10510
Phone (800) 501-3936

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

250 Skillman St
Ste 202
Brooklyn, NY 11205

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

301 Mill Rd
Ste U7
Hewlett, NY 11557

240 N Main St
Spring Valley, NY 10977
Phone (845) 374-0410

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

918 James St
#13282
Syracuse, NY 13203

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

193 S Union Rd
Williamsville, NY 14221
Phone (716) 276-1900

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1114067337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OAK CREST DR",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282708",
            "telephone_number": "718-393-7705",
            "fax_number": "718-446-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 88TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727630",
            "telephone_number": "718-393-7705",
            "fax_number": "718-446-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGELLE",
        "first_name": "KELVIN",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N005924-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00612404",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.