Active NPI
Kieran Thomas Mahan, DPM
- Podiatrist
- Philadelphia, PA
National Provider Identifier
1326033325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC002615L
- Practice address
- Temple University Foot and Ankle Institute
8TH at Race Street
Philadelphia, PA 19117-2496 - Phone
- (215) 238-6600
- Fax
- (215) 629-4905
- NPI assigned
- Sep 15, 2005
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC002615L | PA | Primary |
Addresses
Primary practice location
Temple University Foot and Ankle Institute
8TH at Race Street
Philadelphia, PA 19117-2496
Mailing address
Temple University Foot and Ankle Institute
PO Box 827282
Philadelphia, PA 19182-0001
Phone (215) 238-6600
Other identifiers 20
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA096026 | Other | PA | BLUE SHIELD OF PA |
| P692463 | Other | PA | OXFORD |
| 231365971071 | Other | PA | TRI-CARE |
| J96026 | Other | PA | INTER-CITY |
| 0009118720005 | Medicaid | PA | |
| 31790 | Other | PA | KEYSTONE MERCY |
| 9259 | Other | PA | ELDER HEALTH / BRAVO |
| 3Y2088 | Other | PA | HEALTH NET |
| 911872 | Medicaid | PA | |
| 9991253 | Other | PA | CIGNA |
| 0060594000 | Other | PA | KEYSTONE HEALTH PLAN HMO |
| 190608 | Other | NJ | NJ MEDICAL ASSISTANCE |
| 2179196 | Other | PA | AETNA |
| 28824 | Other | PA | HEALTH PARTNERS |
| 231365971 | Other | PA | HUMANA |
| 480029986 | Other | PA | RAILROAD MEDICARE |
| 91187203 | Other | PA | HMA |
| 435719 | Other | PA | HEALTH AMERICA HEALTH ASSURANCE |
| 231365971 | Other | PA | UNITED HEALTH CARE |
| 96026 | Other | PA | KEYSTONE HEALTH PLAN PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple University of the Commonwealth System of Higher Education | Past | Accepting new patients | |
| Temple University of the Commonwealth System of Higher Education | Past | Accepting new patients |
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.
-
- Ambulatory Surgical Clinic/Center
- Philadelphia, PA
- NPI 1386646891
-
- Dental Clinic/Center
- Philadelphia, PA
- NPI 1841268604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1326033325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TEMPLE UNIVERSITY FOOT AND ANKLE INSTITUTE",
"address_2": "PO BOX 827282",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191820001",
"telephone_number": "215-238-6600",
"fax_number": "215-629-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TEMPLE UNIVERSITY FOOT AND ANKLE INSTITUTE",
"address_2": "8TH AT RACE STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191172496",
"telephone_number": "215-238-6600",
"fax_number": "215-629-4905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAN",
"first_name": "KIERAN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC002615L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF PA",
"identifier": "MA096026",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P692463",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI-CARE",
"identifier": "231365971071",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTER-CITY",
"identifier": "J96026",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009118720005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "31790",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDER HEALTH / BRAVO",
"identifier": "9259",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "3Y2088",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "911872",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9991253",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN HMO",
"identifier": "0060594000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ MEDICAL ASSISTANCE",
"identifier": "190608",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2179196",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "28824",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "231365971",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480029986",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMA",
"identifier": "91187203",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA HEALTH ASSURANCE",
"identifier": "435719",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "231365971",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN PPO",
"identifier": "96026",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.