Individual provider Active NPI

Kayla O'Malley, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • East Longmeadow, MA
National Provider Identifier
1245642438
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2454 Issued in MA
Practice address
250 N Main St Ste 102
East Longmeadow, MA 01028-1834
Phone
(413) 525-5200
Fax
(413) 525-5700
NPI assigned
May 22, 2014
Last updated
Aug 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2454 MA
Foot & Ankle Surgery Podiatrist 213ES0103X 2454 MA Primary

Addresses

Primary practice location

250 N Main St Ste 102
East Longmeadow, MA 01028-1834

Mailing address

250 N Main St Ste 102
East Longmeadow, MA 01028-1834
Phone (413) 525-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170908002465 MA Practitioner - Podiatry 0143593376 Reassigns benefits to 1 organization
I20200521000626 CT Practitioner - Podiatry 0143593376 Reassigns benefits to 1 organization
Practice locations: Enfield, CT

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Podiatry Group PCGroup PAC ID 3375446958, 105 clinicians
East Point Foot and Ankle PCGroup PAC ID 9436580511, 2 clinicians

Practice addresses (Care Compare)

101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681

250 N Main St
Suite 102
East Longmeadow, MA 01028-1849
Phone (413) 525-5200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of nail tissue25
Removal or shaving of skin growth11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1052CTMDMarriage & Family Therapist
2454MAMDMental Health Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Point Foot & Ankle PC Podiatrist CurrentSince Jun 1, 2020 Accepting new patients

Locations

250 N Main St
Ste 102
East Longmeadow, MA 01028
Phone (413) 525-5200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADCBCD/Endpoint/ADCBCD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1245642438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N MAIN ST STE 102",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281834",
            "telephone_number": "413-525-5200",
            "fax_number": "413-525-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N MAIN ST STE 102",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281834",
            "telephone_number": "413-525-5200",
            "fax_number": "413-525-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "KAYLA",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2454",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "2454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.