NPIMap

Individual provider Active NPI

John J Kadukammakal, DPM

  • Foot & Ankle Surgery Podiatrist
  • Richmond, VA
National Provider Identifier
1124265731
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301042 Issued in VA
Practice address
2008 Bremo Rd
Suite 100
Richmond, VA 23226-2443
Phone
(804) 285-3933
Fax
(804) 288-1384
NPI assigned
Jan 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006060 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301042 VA Primary

Addresses

Primary practice location

2008 Bremo Rd
Suite 100
Richmond, VA 23226-2443

Mailing address

2008 Bremo Rd
Suite 100
Richmond, VA 23226-2443
Phone (804) 285-3933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110615000456 VA Practitioner - Podiatry 4082891213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Foot and Ankle Center, P.C.Group PAC ID 7113976424, 3 clinicians

Practice addresses (Care Compare)

2008 Bremo Rd
Suite 100
Richmond, VA 23226-2443
Phone (804) 285-3933

Hospital & facility affiliations

  • Welcome Homecare Home health agency, Richmond, VA, CCN 497455
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

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 tissue1-10
Removal of nail tissue349
Removal or shaving of skin growth145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006060PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Foot & Ankle Center, P.C. Foot & Ankle Surgery CurrentSince Jul 1, 2011 Accepting new patients

Locations

2008 Bremo Rd
Ste 100
Richmond, VA 23226
Phone (804) 285-3933

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/58082
  • Direct secure messaging: johnkadukammakal@vfa.allscriptsdirect.net

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 7

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": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1124265731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 BREMO RD",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262443",
            "telephone_number": "804-285-3933",
            "fax_number": "804-288-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 BREMO RD",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262443",
            "telephone_number": "804-285-3933",
            "fax_number": "804-288-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADUKAMMAKAL",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006060",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.