Individual provider Active NPI

Robert Alan Klein, DPM

  • Foot Surgery Podiatrist
  • Eden, NC
National Provider Identifier
1205975133
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N003574 Issued in NY
Practice address
519 S Van Buren Rd Ste D
Eden, NC 27288-5015
Phone
(336) 627-4861
Fax
(336) 623-4411
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N003574 NY Primary

Addresses

Primary practice location

519 S Van Buren Rd Ste D
Eden, NC 27288-5015

Mailing address

519 S Van Buren Rd Ste D
Eden, NC 27288-5015
Phone (336) 627-4861

Other identifiers 1

IdentifierTypeStateIssuer
163OtherNCNORTH CAROLINA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190409000612 NC Practitioner - Podiatry 6901963776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

519 S Van Buren Rd
Suite D
Eden, NC 27288-5015
Phone (336) 627-4861

Hospital & facility affiliations

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 tissue24
Removal of skin lesions17
Removal of nail tissue631
Removal or shaving of skin growth463
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003574NYMDFoot Surgery Podiatrist
163NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Podiatry Associates, PLLC CurrentSince Jan 1, 2019 Accepting new patients
Piedmont Podiatry Associates, PLLC Past Accepting new patients
Rockingham Foot & Ankle Associates Foot Surgery Past Accepting new patients

Locations

519 S Van Buren Rd
Ste D
Eden, NC 27288
Phone (336) 627-4861

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 and National Provider Directory roles.

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1205975133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S VAN BUREN RD STE D",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885015",
            "telephone_number": "336-627-4861",
            "fax_number": "336-623-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S VAN BUREN RD STE D",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885015",
            "telephone_number": "336-627-4861",
            "fax_number": "336-623-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N003574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA LICENSE",
            "identifier": "163",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

Verify at the official NPI Registry.