Active NPI
Charles F Kind, DPM
- Podiatrist
- Monroe, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 712-025
- Practice address
- 2009 5TH St
Monroe, WI 53566-1546 - Phone
- (608) 324-2000
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016-004739 | IL | |
| Podiatrist | 213E00000X | 712025 | WI | |
| Podiatrist | 213E00000X | 712-025 | WI | Primary |
| Podiatrist | 213E00000X | 016004739 | IL |
Addresses
Primary practice location
2009 5TH St
Monroe, WI 53566-1546
Mailing address
515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 325-2000
Other practice location 1
1500 11th St
Monroe, WI 53566-1747
Phone (608) 325-9175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43220300 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ckind379@direct.monroeclinic.org | Direct | |
| FHIR URL | https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ | Other |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2009 5TH St
Monroe, WI 53566-1546
Phone (608) 324-2000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 673 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016-004739 | IL | MD | Podiatrist |
| 016004739 | IL | MD | Podiatrist |
| 712-025 | WI | MD | Podiatrist |
| 712025 | WI | MD | Podiatrist |
| 712 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beloit Clinic, S.C. | Current | Accepting new patients | |
| Beloit Health System, Inc | Current | Accepting new patients | |
| Beloit Health System Inc | Podiatrist | Current | Accepting new patients |
| Beloit Health System, Inc | Current | Accepting new patients |
Locations
1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510
Interoperability endpoints
- ckind400298@direct-ehr-ssmhc.com
Organizations & group practices 5
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.
-
- Specialist
- Monroe, WI
- NPI 1386720548
-
- Internal Medicine Physician
- Beloit, WI
- NPI 1548345887
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Beloit, WI
- NPI 1568677417
-
- Internal Medicine Physician
- Beloit, WI
- NPI 1912199340
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroe, WI
- NPI 1740291491
-
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1245246198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 22ND AVE",
"city": "MONROE",
"state": "WI",
"postal_code": "535661569",
"telephone_number": "608-325-2000",
"fax_number": "608-325-2469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 5TH ST",
"city": "MONROE",
"state": "WI",
"postal_code": "535661546",
"telephone_number": "608-324-2000"
}
],
"practiceLocations": [
{
"address_1": "1500 11th St",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "WI",
"postal_code": "535661747",
"country_code": "US",
"telephone_number": "608-325-9175",
"fax_number": "608-325-9176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIND",
"first_name": "CHARLES",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016-004739",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WI",
"license": "712025",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WI",
"license": "712-025",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016004739",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43220300",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ckind379@direct.monroeclinic.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "ckind379@direct.monroeclinic.org",
"address_1": "515 22nd Ave",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661569",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "515 22nd Ave",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661569",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monroe, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.