Individual provider Active NPI

Keith Thomas Bopf, DPM

  • Podiatrist
  • Cape May Court House, NJ
National Provider Identifier
1336213420
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD2208 Issued in NJ
Practice address
1261 S Route 9 Ste 4
Cape May Court House, NJ 08210-2761
Phone
(609) 465-5599
Fax
(609) 465-8360
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD2208 NJ Primary

Addresses

Primary practice location

1261 S Route 9 Ste 4
Cape May Court House, NJ 08210-2761

Mailing address

1261 S Route 9 Ste 4
Cape May Court House, NJ 08210-2761
Phone (609) 465-5599

Other identifiers 1

IdentifierTypeStateIssuer
6023908MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20101028001374 NJ Practitioner - Podiatry 3173717600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1261 RT 9
Suite 4
Burleigh, NJ 08210-2761
Phone (609) 465-5599

Hospital & facility affiliations

  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue189
Removal of skin lesions79
Removal of nail tissue1216
Removal or shaving of skin growth364
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD2208NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Keith Bopf DPM PA Podiatrist CurrentSince Oct 1, 1993 Accepting new patients

Locations

1261 Route 9 S
Ste 4
Cape May Court House, NJ 08210
Phone (609) 465-5599

56 Tuckahoe Rd
Marmora, NJ 08223
Phone (609) 246-8400

Organizations & group practices 1

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 1

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1336213420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 S ROUTE 9 STE 4",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102761",
            "telephone_number": "609-465-5599",
            "fax_number": "609-465-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 S ROUTE 9 STE 4",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102761",
            "telephone_number": "609-465-5599",
            "fax_number": "609-465-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOPF",
        "first_name": "KEITH",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD2208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6023908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

Verify at the official NPI Registry.