Organization Active NPI

Kevin M. Kane D.P.M. Inc.

  • Foot & Ankle Surgery Podiatrist
  • Seven Hills, OH
National Provider Identifier
1356447205
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36002425 Issued in OH
Legal business name
KEVIN M. KANE D.P.M. INC.
Practice address
7393 Broadview Rd
Suite F
Seven Hills, OH 44131-4444
Phone
(216) 642-3668
Fax
(216) 573-0769
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Kevin Michael Kane, DPMNPI 1033102405
Title
President
Phone
(216) 642-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 36002425 OH Primary
Durable Medical Equipment & Medical Supplies 332B00000X 36002425 OH

Addresses

Primary practice location

7393 Broadview Rd
Suite F
Seven Hills, OH 44131-4444

Mailing address

7393 Broadview Rd
Suite F
Seven Hills, OH 44131-4444
Phone (216) 642-3668

Other identifiers 1

IdentifierTypeStateIssuer
2744196MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070222000175 OH Part B Supplier - Clinic/Group Practice 9234231242 Receives reassigned benefits from 3 practitioners
Practice locations: Parma, OH; Richfield, OH; Rocky River, OH; Seven Hills, OH; Strongsville, OH; Westlake, OH; North Royalton, OH; Berea, OH…
O20100930056434 OH DME Supplier - Physician - Podiatry 9234231242 Practice locations: Seven Hills, OH

National Provider Directory

National Provider Directory

Locations

19250 Bagley Rd
Ste 102
Middleburg Heights, OH 44130
Phone (216) 642-3668

6763 State Rd
Parma, OH 44134
Phone (440) 210-4040

1136 W Pleasant Valley Rd
Parma, OH 44134
Phone (440) 842-0390

7393 Broadview Rd
Ste F
Seven Hills, OH 44131
Phone (216) 642-3668

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1356447205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7393 BROADVIEW RD",
            "address_2": "SUITE F",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441314444",
            "telephone_number": "216-642-3668",
            "fax_number": "216-573-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7393 BROADVIEW RD",
            "address_2": "SUITE F",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441314444",
            "telephone_number": "216-642-3668",
            "fax_number": "216-573-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN M. KANE D.P.M. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-642-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36002425",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "36002425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2744196",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.