Individual provider Active NPI

Nina Kovalenko

  • Foot & Ankle Surgery Podiatrist
  • Chester, PA
National Provider Identifier
1306331590
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006924 Issued in PA
Practice address
1 Medical Center Blvd
Chester, PA 19013
Phone
(610) 447-2000
NPI assigned
Jun 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006920 PA
Foot & Ankle Surgery Podiatrist 213ES0103X SC006924 PA Primary

Addresses

Primary practice location

1 Medical Center Blvd
Chester, PA 19013

Mailing address

1000 Michigan St
Sidney, OH 45365-2404
Phone (267) 346-9996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210512003336 OH Practitioner - Podiatry 2264841717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry IncGroup PAC ID 6507936671, 16 clinicians

Practice addresses (Care Compare)

1236 Som Ctr Rd
Mayfield Heights, OH 44124-2047
Phone (216) 245-1290

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as group
Quality
85.28
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of skin lesions30
Removal of nail tissue70
Removal or shaving of skin growth32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006920PAMDFoot & Ankle Surgery Podiatrist
SC006924PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Copeland DPM Inc Foot & Ankle Surgery CurrentSince Sep 1, 2023 Accepting new patients
Cary Copeland DPM Inc Foot & Ankle Surgery CurrentSince Sep 1, 2023 Accepting new patients
Cary Copeland DPM Inc Foot & Ankle Surgery Past Accepting new patients

Locations

4260 Glendale Milford Rd
Ste 103
Blue Ash, OH 45242
Phone (513) 769-4408

4010 N Bend Rd
Ste 201
Cincinnati, OH 45211
Phone (513) 451-5709

6215 Troy Pike
Huber Heights, OH 45424
Phone (937) 236-0810

1255 E Ash St
Piqua, OH 45356
Phone (513) 773-0980

1000 Michigan St
Sidney, OH 45365
Phone (937) 492-1211

2335 W Main St
Troy, OH 45373
Phone (937) 332-3668

Interoperability endpoints

  • Direct secure messaging: nkovalenko@usfas.emadirect.md

Organizations & group practices 4

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.

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1306331590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MICHIGAN ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652404",
            "telephone_number": "267-346-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-447-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALENKO",
        "first_name": "NINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006920",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.