Marty J Kelley, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00763 Issued in IA

Practice address

2916 Hamilton Blvd
Sioux City, IA 51104-2429

Phone

(712) 255-1621

Fax

(712) 255-1389

NPI assigned

Oct 4, 2005

Last updated

Apr 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SD, NE, IA3 enrollments

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 3

Specialty

Podiatry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Greg J McCarthy PCGroup PAC ID 7315838604, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crawford County Memorial Hospital Hospital, Denison, IA, CCN 161369
• St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr Greg J McCarthy PC

  dba Siouxland Podiatry Associates

  • Podiatrist
  • Sioux City, IA
  • NPI 1922201227

  NE, SD

  Medicare reassignment Care Compare group NPD
• Ear Nose and Throat Consultants and Hearing Services PLC

  • Otolaryngology Physician
  • Dakota Dunes, SD
  • NPI 1114141546
  NPD (past)
• Winnebago Indian Health Service

  • General Acute Care Hospital
  • Winnebago, NE
  • NPI 1659392454
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crawford County Memorial Hospital

  • Critical Access Hospital
  • Denison, IA
  • NPI 1578555116
  Care Compare affiliation
• Northwest Iowa Hospital Corporation

  dba St Lukes Regional Medical Center

  • General Acute Care Hospital
  • Sioux City, IA
  • NPI 1962594622
  Care Compare affiliation

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1215924253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 HAMILTON BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042429",
            "telephone_number": "712-255-1621",
            "fax_number": "712-255-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 HAMILTON BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042429",
            "telephone_number": "712-255-1621",
            "fax_number": "712-255-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MARTY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0435834",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0289124",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025293700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph James Kayl, DDS
• Alex G Kazos, M.D.
• Nicole Anne Keegan, CADC
• Christopher John Keller, RPH
• Megdalin Rose Keller
• Jeffrey L. Kellogg, DO
• Kornelia Kellogg, D.O.
• Amanda Lynne Kelly
• Steven Alan Kelsey, DPT
• Kirk D Kempter, CRNA

• Podiatrist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.