Individual provider Active NPI

Kelly L Check, DPM

  • Foot & Ankle Surgery Podiatrist
  • Nevada, IA
National Provider Identifier
1114991262
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1710235 Issued in IA
Practice address
640 S 19TH St Ste 100
Nevada, IA 50201
Phone
(515) 382-5413
Fax
(515) 382-7107
NPI assigned
Feb 15, 2006
Last updated
Jul 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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 1710235 IA Primary

Addresses

Primary practice location

640 S 19TH St Ste 100
Nevada, IA 50201

Mailing address

640 S 19TH St Ste 100
Nevada, IA 50201-2902
Phone (515) 382-5413

Other practice location 1

640 S 19th St
Nevada, IA 50201-2902
Phone (515) 382-5413

Other practice location 2

640 S 19th St
Nevada, IA 50201-2902
Phone (515) 382-2111

Other practice location 3

403 1st St
Maxwell, IA 50161-7700
Phone (515) 387-8815

Other identifiers 6

IdentifierTypeStateIssuer
59063OtherWELMARK
59069OtherWELMARK
0266890MedicaidIA
1266890MedicaidIA
2266890MedicaidIA
59066OtherWELMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20060412000093 IA Practitioner - Podiatry 4587673025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Story County HospitalGroup PAC ID 0547153884, shared by 5 NPIs, 16 clinicians

Practice addresses (Care Compare)

640 S 19TH St
Nevada, IA 50201-2902
Phone (515) 382-2111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1710235IAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Story County Hospital CurrentSince Jun 15, 2012 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Story County Hospital CurrentSince Jun 15, 2012 Accepting new patients
Story County Hospital Past Accepting new patients

Locations

519 F Ave
Nevada, IA 50201
Phone (515) 382-5413

640 S 19th St
Nevada, IA 50201
Phone (515) 382-2111

640 S 19th St
Ste 100
Nevada, IA 50201
Phone (515) 382-5413

600 Linn St
Ste B
Slater, IA 50244
Phone (515) 685-3960

Interoperability endpoints

  • Direct secure messaging: kcheck429275@direct.unitypoint.org

Organizations & group practices 4

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 1

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1114991262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S 19TH ST STE 100",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502012902",
            "telephone_number": "515-382-5413",
            "fax_number": "515-382-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S 19TH ST STE 100",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "50201",
            "telephone_number": "515-382-5413",
            "fax_number": "515-382-7107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 S 19th St",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "IA",
            "postal_code": "502012902",
            "country_code": "US",
            "telephone_number": "515-382-5413",
            "fax_number": "515-382-7107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 S 19th St",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "IA",
            "postal_code": "502012902",
            "country_code": "US",
            "telephone_number": "515-382-2111",
            "fax_number": "515-382-7760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 1st St",
            "address_purpose": "LOCATION",
            "city": "Maxwell",
            "state": "IA",
            "postal_code": "501617700",
            "country_code": "US",
            "telephone_number": "515-387-8815",
            "fax_number": "515-387-8817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHECK",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "1710235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELMARK",
            "identifier": "59063",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELMARK",
            "identifier": "59069",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266890",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1266890",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2266890",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELMARK",
            "identifier": "59066",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada, IA

Sources for this page

Verify at the official NPI Registry.