Elisa M Kavanagh, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

005920 Issued in NY

Practice address

440 Mamaroneck Ave Ste 502
Harrison, NY 10528-2433

Phone

(914) 472-1000

Fax

(914) 472-1008

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Elisa Kavanagh DPM PCGroup PAC ID 9032539887, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

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.

• Dr Elisa Kavanagh DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Harrison, NY
  • NPI 1114550514
  Medicare reassignment Care Compare group NPD Authorized official
• Dr. Elisa Kavanagh, D.P.M.

  • Foot Surgery Podiatrist
  • Scarsdale, NY
  • NPI 1619381589
  NPD (past) Authorized official
• Galli Podiatric Foot and Ankle Associates,P.C

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
  • NPI 1225110604
  NPD (past)
• Hana Chiropractic and Acupuncture, P.C.

  • Chiropractor
  • Scarsdale, NY
  • NPI 1043484512
  NPD (past)
• Comprehensive Family Foot Care, PA.

  • Foot Surgery Podiatrist
  • Mahwah, NJ
  • NPI 1427246354
  NPD (past)
• Curalta Medical LLC

  • Podiatrist
  • Park Ridge, NJ
  • NPI 1801568605
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1356355366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MAMARONECK AVE STE 502",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282433",
            "telephone_number": "914-472-1000",
            "fax_number": "914-472-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MAMARONECK AVE STE 502",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105282433",
            "telephone_number": "914-472-1000",
            "fax_number": "914-472-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "ELISA",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "005920",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "005920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2738692",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "2404394",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "6298866",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "000000082282",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PH7951",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1582677",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "160452P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3C6175",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mathew Eric Jung
• Balkrishna Kalayam, MD
• Amanda Kantor, FNP-C
• Michelle Kaufman, D.P.M.
• Darsprit Kaur
• Jeryl Kaye
• Erick Richard Kazarian, MD
• Andrew Franklin Kelly, PH.D.
• Jessica Kennedy
• Erin Frances Kenney, PT

• Podiatrist in Harrison, NY
• Providers in Harrison, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.

Verify at the official NPI Registry.