Individual provider Active NPI

Kelly Bumpus, D.P.M.

  • Podiatrist
  • Knoxville, TN
National Provider Identifier
1346531241
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
760 Issued in TN
Practice address
1932 Alcoa Highway Suite C 480
Knoxville Footcare
Knoxville, TN 37920
Phone
(865) 632-5700
NPI assigned
Apr 26, 2011
Last updated
Nov 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 760 TN Primary

Addresses

Primary practice location

1932 Alcoa Highway Suite C 480
Knoxville Footcare
Knoxville, TN 37920

Mailing address

1932 Alcoa Hwy
Suite C480
Knoxville, TN 37920-1527
Phone (865) 632-5700

Other identifiers 1

IdentifierTypeStateIssuer
Q007417MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20141230001650 TN Practitioner - Podiatry 8729301650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians
Ivan N. Cooper, DPM, PCGroup PAC ID 8426177627, 3 clinicians

Practice addresses (Care Compare)

121 N Calderwood St
Alcoa, TN 37701-2109
Phone (865) 336-9188

125 Town Creek Rd E
Suite 3
Lenoir City, TN 37772-5690
Phone (865) 632-5700

1932 Alcoa Hwy
Suite 480
Knoxville, TN 37920-1571
Phone (865) 632-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue165
Removal of skin lesions37
Removal of nail tissue192
Removal or shaving of skin growth24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivan N Cooper, DPM, PC Podiatrist CurrentSince Aug 13, 2014 Accepting new patients

Locations

1932 Alcoa Hwy
Ste 480
Knoxville, TN 37920
Phone (865) 632-5700

1932 Alcoa Hwy
Ste C480
Knoxville, TN 37920
Phone (865) 632-5700

Interoperability endpoints

  • Direct secure messaging: kbumpus@kf-tn.direct.office.nextgen.com

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, 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": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1346531241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY",
            "address_2": "SUITE C480",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201527",
            "telephone_number": "865-632-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HIGHWAY SUITE C 480",
            "address_2": "KNOXVILLE FOOTCARE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "865-632-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMPUS",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q007417",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.