Individual provider Active NPI

Kristine Kelly Nemes, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Pacifica, CA
National Provider Identifier
1366497752
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4584 Issued in CA
Practice address
669 Crespi Dr
Suite B
Pacifica, CA 94044-3486
Phone
(650) 359-7770
Fax
(650) 359-3449
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4584 CA Primary

Addresses

Primary practice location

669 Crespi Dr
Suite B
Pacifica, CA 94044-3486

Mailing address

669 Crespi Dr
Suite B
Pacifica, CA 94044-3486
Phone (650) 359-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060606000086 CA Practitioner - Podiatry 2668483728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

669 Crespi Dr
Suite B
Pacifica, CA 94044-3436
Phone (650) 359-7770

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue402
Removal or shaving of skin growth260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4584CAMDFoot & Ankle Surgery Podiatrist

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Kristine Kelly Nemes D.P.M., Inc. Foot & Ankle Surgery CurrentSince Oct 29, 2010 Accepting new patients
Seton Medical Center Past Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

669 Crespi Dr
Ste B
Pacifica, CA 94044
Phone (415) 359-7770

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1366497752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 CRESPI DR",
            "address_2": "SUITE B",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443486",
            "telephone_number": "650-359-7770",
            "fax_number": "650-359-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 CRESPI DR",
            "address_2": "SUITE B",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443486",
            "telephone_number": "650-359-7770",
            "fax_number": "650-359-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMES",
        "first_name": "KRISTINE",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacifica, CA

Sources for this page

Verify at the official NPI Registry.