NPIMap

Individual provider Active NPI

Kathleen Anne Hope, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bangor, PA
National Provider Identifier
1144590563
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006196 Issued in PA
Practice address
325 Blue Valley Dr
Bangor, PA 18013-1526
Phone
(610) 588-6621
Fax
(610) 588-6307
NPI assigned
Jan 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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 25MD00311700 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X SC006196 PA Primary

Addresses

Primary practice location

325 Blue Valley Dr
Bangor, PA 18013-1526

Mailing address

325 Blue Valley Dr
Bangor, PA 18013-1526
Phone (610) 588-6621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130617000367 PA Practitioner - Podiatry 9537308887 Reassigns benefits to 1 organization
I20140822000372 NJ Practitioner - Podiatry 9537308887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bangor Podiatry LLCGroup PAC ID 5496766271, 5 clinicians

Practice addresses (Care Compare)

129 N 11TH St
Bangor, PA 18013-1603
Phone (610) 588-6621

1310 Route 209
Suite 107
Gilbert, PA 18331-7751
Phone (570) 992-5779

Hospital & facility affiliations

  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
  • St Luke'S Hospital - Carbon Campus Hospital, Lehighton, PA, CCN 390335

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue145
Removal of skin lesions12
Removal of nail tissue2562
Removal or shaving of skin growth705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bangor Podiatry LLC Foot & Ankle Surgery CurrentSince May 10, 2013 Accepting new patients
Bangor Podiatry LLC Foot & Ankle Surgery CurrentSince May 10, 2013 Accepting new patients

Locations

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

325 Blue Valley Dr
Bangor, PA 18013
Phone (610) 588-6621

129 N 11th St
Bangor, PA 18013
Phone (610) 588-6621

224 Nazareth Pike
Unit 10
Bethlehem, PA 18020

1310 Route 209
Ste 107
Gilbert, PA 18331
Phone (570) 992-5779

Interoperability endpoints

  • Direct secure messaging: kathleen.hope@bangorpodiatry.chartmakerdirect.com

Organizations & group practices 2

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 9

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": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1144590563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 BLUE VALLEY DR",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131526",
            "telephone_number": "610-588-6621",
            "fax_number": "610-588-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BLUE VALLEY DR",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180131526",
            "telephone_number": "610-588-6621",
            "fax_number": "610-588-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPE",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00311700",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, PA

Sources for this page

Verify at the official NPI Registry.