Active NPI
Barbara A. Kilkenny, D.P.M.
- Podiatrist
- Southbury, CT
National Provider Identifier
1356336218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- CT000528
- Practice address
- 2 Pomperaug Office Park
Suite 106
Southbury, CT 06488-2288 - Phone
- (203) 264-0800
- Fax
- (203) 264-2657
- NPI assigned
- Sep 16, 2005
- Sex
- Female
- 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 | CT000528 | CT | Primary |
Addresses
Primary practice location
2 Pomperaug Office Park
Suite 106
Southbury, CT 06488-2288
Mailing address
2 Pomperaug Office Park
Suite 106
Southbury, CT 06488-2288
Phone (203) 264-0800
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2V4886 | Other | HEALTHNET | |
| 790153 | Other | CO | CONNECTICARE |
| 004100450 | Medicaid | CT | |
| 606567 | Other | AETNA HEALTH PLAN | |
| 061390153 | Other | CT | CIGNA |
| 030000528CT05 | Other | CO | ANTHEM BC/BS |
| P3239125 | Other | CT | OXFORD |
| 061390153 | Other | CT | UNITED HEALTHCARE |
| 004250106 | Other | CT | CT MEDICAL ASSISTANCE PRO |
| 5342810001 | Other | CO | DEMERC REGION A |
| P00146982 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Durable Medical Equipment & Medical Supplies
- Southbury, CT
- NPI 1396736757
O20100930070667
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 Pomperaug Office Park
Suite 106
Southbury, CT 06488-2288
2 Pomperaug Office Park
Suite 106
Southbury, CT 06488-2290
Phone (203) 264-0080
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 11 |
| Removal of skin lesions | 19 |
| Removal of nail tissue | 1178 |
| Removal or shaving of skin growth | 329 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT000528 | CT | MD | Podiatrist |
| 000528 | CT | MD | Physical Therapy Assistant |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- West Haven, CT
- NPI 1467783712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1356336218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 POMPERAUG OFFICE PARK",
"address_2": "SUITE 106",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064882288",
"telephone_number": "203-264-0800",
"fax_number": "203-264-2657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 POMPERAUG OFFICE PARK",
"address_2": "SUITE 106",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064882288",
"telephone_number": "203-264-0800",
"fax_number": "203-264-2657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILKENNY",
"first_name": "BARBARA",
"middle_name": "A.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-16",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CT",
"license": "CT000528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V4886",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "790153",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004100450",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH PLAN",
"identifier": "606567",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "061390153",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "030000528CT05",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3239125",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "061390153",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT MEDICAL ASSISTANCE PRO",
"identifier": "004250106",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEMERC REGION A",
"identifier": "5342810001",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00146982",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.