Individual provider Active NPI

Kathryn O Weldy, DPM

  • Podiatrist
  • Canonsburg, PA
National Provider Identifier
1215916937
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002388L Issued in PA
Practice address
111 S Central Ave
Canonsburg, PA 15317-1551
Phone
(724) 746-1870
Fax
(724) 746-6752
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC002388L PA Primary

Addresses

Primary practice location

111 S Central Ave
Canonsburg, PA 15317-1551

Mailing address

111 S Central Ave
Canonsburg, PA 15317-1551
Phone (724) 746-1870

Other identifiers 2

IdentifierTypeStateIssuer
057763OtherPABLUE SHIELD
0010416160001MedicaidPA

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
I20111017000418 PA Practitioner - Podiatry 5092986166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canonsburg Podiatry AssociatesGroup PAC ID 8325086929, 2 clinicians

Practice addresses (Care Compare)

111 S Central Ave
Canonsburg, PA 15317-1551
Phone (724) 746-1870

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions34
Removal of nail tissue686
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC002388LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Canonsburg Podiatry Associates Podiatrist CurrentSince Jul 12, 1983 Accepting new patients

Locations

111 S Central Ave
Canonsburg, PA 15317
Phone (412) 746-1870

Interoperability endpoints

  • Direct secure messaging: kweldy@canonsburgpodiatry.medentdirect.com

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 3

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1215916937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S CENTRAL AVE",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171551",
            "telephone_number": "724-746-1870",
            "fax_number": "724-746-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S CENTRAL AVE",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171551",
            "telephone_number": "724-746-1870",
            "fax_number": "724-746-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDY",
        "first_name": "KATHRYN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002388L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "057763",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010416160001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.