Active NPI
Kevin Michael Houseman, DPM
- Podiatrist
- Goshen, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 07001314A
- Practice address
- 1824 Dorchester CT Ste a
Goshen, IN 46526 - Phone
- (574) 534-2548
- NPI assigned
- May 16, 2011
- Sex
- Male
- 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 | 07001314A | IN | Primary |
Addresses
Primary practice location
1824 Dorchester CT Ste a
Goshen, IN 46526
Mailing address
1824 Dorchester CT Ste a
Goshen, IN 46526-6819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300026160 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kevin.houseman@goshenhealthdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | kevin.houseman.p1@direct.goshenphysicians.nextgenshare.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1824 Dorchester CT
Suite a
Goshen, IN 46526-6819
Phone (574) 534-2548
Hospital & facility affiliations
- Goshen Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 54 |
| Removal of skin lesions | 13 |
| Removal of nail tissue | 258 |
| Removal or shaving of skin growth | 76 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Hospital Association Inc | Current | Accepting new patients | |
| Goshen Health System Inc | Current | Accepting new patients | |
| Goshen Health System Inc | Current | Accepting new patients |
Locations
1824 Dorchester Ct
Ste A
Goshen, IN 46526
Phone (574) 534-2548
2824 Elkhart Rd
Goshen, IN 46526
Phone (574) 534-6752
1953 Waterfall Dr
Ste A
Nappanee, IN 46550
Phone (574) 773-4101
Interoperability endpoints
- kevin.houseman@goshenhealthdirect.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Goshen, IN
- NPI 1194772293
-
- Radiology Clinic/Center
- Goshen, IN
- NPI 1588190284
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1376836916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 DORCHESTER CT STE A",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465266819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 DORCHESTER CT STE A",
"city": "GOSHEN",
"state": "IN",
"postal_code": "46526",
"telephone_number": "574-534-2548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSEMAN",
"first_name": "KEVIN",
"middle_name": "MICHAEL",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-16",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07001314A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300026160",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kevin.houseman@goshenhealthdirect.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1824 Dorchester Ct Ste A",
"city": "Goshen",
"state": "IN",
"country_code": "US",
"postal_code": "46526",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kevin.houseman.p1@direct.goshenphysicians.nextgenshare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1824 Dorchester Ct Ste A",
"city": "Goshen",
"state": "IN",
"country_code": "US",
"postal_code": "46526",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Goshen, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.