Individual provider Active NPI

Erin E Kutvoelgyi, DPM

  • Podiatrist
  • Kennett Square, PA
National Provider Identifier
1205866746
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC005540L Issued in PA
Practice address
500 Orchard Ave
Suite B
Kennett Square, PA 19348-1812
Phone
(610) 388-8637
Fax
(484) 730-0060
NPI assigned
Jul 3, 2006
Last updated
Feb 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC005540L PA Primary

Addresses

Primary practice location

500 Orchard Ave
Suite B
Kennett Square, PA 19348-1812

Mailing address

43 Stoneridge Rd
Thornton, PA 19373-1042
Phone (610) 357-6303

Other identifiers 1

IdentifierTypeStateIssuer
001904101MedicaidPA

Other names 1

  • Dr. Erin E McGovern Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20081024000400 PA Practitioner - Podiatry 1153369855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 Orchard Ave
Suite B
Kennett Square, PA 19348-1812
Phone (610) 388-8637

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 tissue15
Removal of skin lesions44
Removal of nail tissue332
Removal or shaving of skin growth172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC005540LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Podiatry LLC Podiatrist CurrentSince Aug 15, 2016 Accepting new patients
Foot and Ankle Associates LLP Podiatrist Past Accepting new patients
Foot and Ankle Associates LLP Podiatrist Past Accepting new patients

Organizations & group practices 3

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1205866746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 STONERIDGE RD",
            "city": "THORNTON",
            "state": "PA",
            "postal_code": "193731042",
            "telephone_number": "610-357-6303",
            "fax_number": "484-730-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ORCHARD AVE",
            "address_2": "SUITE B",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481812",
            "telephone_number": "610-388-8637",
            "fax_number": "484-730-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTVOELGYI",
        "first_name": "ERIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC005540L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001904101",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "MCGOVERN",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennett Square, PA

Sources for this page

Verify at the official NPI Registry.