Keenan Sinclair Carriero, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4509 Issued in CA

Practice address

310 Santa Fe Dr Ste 112
Encinitas, CA 92024-5123

Phone

(760) 642-7009

Fax

(760) 230-1453

NPI assigned

Sep 29, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA, AL2 enrollments

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 2

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carriero Foot and Ankle IncGroup PAC ID 8325365463, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baldwin Health Hospital, Foley, AL, CCN 010083
• Scripps Memorial Hospital - Encinitas Hospital, Encinitas, CA, CCN 050503

Merit-based Incentive Payment System (MIPS)

Final score

66.25 of 100Reported as group

Quality

40.82

Promoting interoperability

96

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13596/brand/1/csg/1/fhir/r4
• Direct secure messaging: kcarriero31826@scrippshlth.medalliesdirect.net
• Direct secure messaging: keenan.carriero.1@13596.direct.athenahealth.com

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.

• Carriero Foot and Ankle Inc

  • Clinic/Center
  • Encinitas, CA
  • NPI 1962891697

  AL, Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Core Orthopaedic Medical Center

  • Orthopaedic Surgery Physician
  • Encinitas, CA
  • NPI 1306904180
  NPD (past)
• San Dieguito Orthopedic Medical Center P C

  • Orthopaedic Surgery Physician
  • Encinitas, CA
  • NPI 1356433965

  Foot & Ankle Surgery

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Scripps Health

  dba Scripps Memorial Hospital Encinitas

  • General Acute Care Hospital
  • Encinitas, CA
  • NPI 1700829199
  Care Compare affiliation
• Foley Hospital Company LLC

  dba Baldwin Health

  • General Acute Care Hospital
  • Foley, AL
  • NPI 1053382655
  Care Compare affiliation

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366534075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SANTA FE DR STE 112",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245123",
            "telephone_number": "760-642-7009",
            "fax_number": "760-230-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SANTA FE DR STE 112",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245123",
            "telephone_number": "760-642-7009",
            "fax_number": "760-230-1453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "332 Santa Fe Dr",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245143",
            "country_code": "US",
            "telephone_number": "760-943-6700",
            "fax_number": "760-632-4292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRIERO",
        "first_name": "KEENAN",
        "middle_name": "SINCLAIR",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "03-0431018",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ04918Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0093170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Miguel Carrasquel, OTR/L
• Jorge A Carrera, MD
• Molly Elizabeth Carrera
• Carrie S Phillips, Family Therapist, Inc (Center for Narrative Health Practices)
• Carriero Foot and Ankle Inc
• Camille Carter, LMFT
• Christian George Carter, PT, DPT
• Jennifer Carter, MA
• Jordan Grace Carter
• Justice Carter, RBT

• Foot & Ankle Surgery Podiatrist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.