Individual provider Active NPI

Steven Eric Kaufman, D.P.M.

  • Podiatrist
  • Milwaukee, WI
National Provider Identifier
1235165002
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
573-025 Issued in WI
Practice address
3615 W Oklahoma Ave
Milwaukee, WI 53215-4100
Phone
(414) 383-2995
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 573-025 WI Primary

Addresses

Primary practice location

3615 W Oklahoma Ave
Milwaukee, WI 53215-4100

Mailing address

1444 S 85TH St
West Allis, WI 53214-4470
Phone (414) 476-4746

Other identifiers 3

IdentifierTypeStateIssuer
27-00032OtherWIUHC
480010903OtherWIRAILROAD MEDICARE
43205600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20050404000621 WI Practitioner - Podiatry 2567419682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Podiatry Group PCGroup PAC ID 3375446958, 105 clinicians

Practice addresses (Care Compare)

200 S Executive Dr
Suite 101
Brookfield, WI 53005-4216
Phone (888) 964-6681

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1922
Removal or shaving of skin growth354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
573-025WIMDPodiatrist
573WIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Feb 10, 2020 Accepting new patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Feb 10, 2020 Accepting new patients
Podomedik Clinics LLC. Past Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

888 Worcester St
Ste 130
Wellesley, MA 02482
Phone (857) 255-0293

200 S Executive Dr
Ste 101
Brookfield, WI 53005
Phone (262) 262-6707

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.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1235165002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 S 85TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144470",
            "telephone_number": "414-476-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 W OKLAHOMA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154100",
            "telephone_number": "414-383-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "STEVEN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "573-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "27-00032",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480010903",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43205600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.