Active NPI
Kirk E Woelffer, DPM
- Foot & Ankle Surgery Podiatrist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 426
- Practice address
- 1418 E Millbrook Rd
Raleigh, NC 27609-4812 - Phone
- (919) 850-9111
- Fax
- (919) 850-2499
- NPI assigned
- May 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 426 | NC | Primary |
Addresses
Primary practice location
1418 E Millbrook Rd
Raleigh, NC 27609-4812
Mailing address
PO Box 98209
Raleigh, NC 27624-8209
Phone (919) 850-9111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890802J | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Physical Therapy Associates LLC
Practice addresses (Care Compare)
1129 Weaver Dairy Rd
Suite N
Chapel Hill, NC 27514-1960
Phone (919) 968-5959
1418 E Millbrook Rd
Raleigh, NC 27609-4812
Phone (919) 850-9111
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.95 of 100
- Promoting interoperability
- 87
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 136 |
| Removal of skin lesions | 134 |
| Removal of nail tissue | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 426 | NC | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Podiatrist | Current | Accepting new patients |
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Podiatrist | Current | Accepting new patients |
Locations
130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482
1004 Werrington Dr
Ste 300
Holly Springs, NC 27540
Phone (919) 850-9111
2605 Blue Ridge Rd
Ste 320
Raleigh, NC 27607
Phone (919) 787-8555
1418 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 850-9111
3801 Wake Forest Rd
Raleigh, NC 27609
Phone (623) 522-8491
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 and National Provider Directory roles.
-
- Podiatrist
- Raleigh, NC
- NPI 1073804712
-
- Podiatrist
- Concord, NC
- NPI 1255213997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1275580862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98209",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276248209",
"telephone_number": "919-850-9111",
"fax_number": "919-850-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 E MILLBROOK RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094812",
"telephone_number": "919-850-9111",
"fax_number": "919-850-2499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOELFFER",
"first_name": "KIRK",
"middle_name": "E",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "426",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890802J",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.