Individual provider Active NPI

Kelly Ann Heppert, D.P.M.

  • Podiatrist
  • Cincinnati, OH
National Provider Identifier
1164718615
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003711 Issued in OH
Practice address
8474 Winton Rd
Cincinnati, OH 45231-4939
Phone
(513) 728-4800
Fax
(513) 728-4601
NPI assigned
Jun 23, 2011
Last updated
Mar 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003711 OH Primary

Addresses

Primary practice location

8474 Winton Rd
Cincinnati, OH 45231-4939

Mailing address

8474 Winton Rd
Cincinnati, OH 45231-4939
Phone (513) 728-4800

Other identifiers 1

IdentifierTypeStateIssuer
0109176MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140905002512 OH Practitioner - Podiatry 1355569211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8474 Winton Rd
Cincinnati, OH 45231-4939
Phone (513) 728-4800

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue110
Removal of skin lesions47
Removal of nail tissue483
Removal or shaving of skin growth274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003711OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot & Ankle Center Inc PA Podiatrist CurrentSince Aug 1, 2014 Accepting new patients
Family Foot & Ankle Center Inc PA Podiatrist CurrentSince Aug 1, 2014 Accepting new patients

Locations

4450 Eastgate Blvd
Ste 232
Cincinnati, OH 45245
Phone (513) 752-2247

5754 Bridgetown Rd
Ste 3
Cincinnati, OH 45248
Phone (513) 662-0203

6350 Glenway Ave
Ste 301
Cincinnati, OH 45211
Phone (513) 563-6228

8474 Winton Rd
Cincinnati, OH 45231
Phone (513) 563-6228

5440 Dixie Hwy
Fairfield, OH 45014
Phone (513) 829-4888

5440 Dixie Hwy
Ste G
Fairfield, OH 45014
Phone (513) 829-2161

25 N F St
Hamilton, OH 45013
Phone (513) 563-6228

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1164718615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8474 WINTON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452314939",
            "telephone_number": "513-728-4800",
            "fax_number": "513-728-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8474 WINTON RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452314939",
            "telephone_number": "513-728-4800",
            "fax_number": "513-728-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPPERT",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0109176",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.