Individual provider Active NPI

Kevin Michael Houseman, DPM

  • Podiatrist
  • Goshen, IN
National Provider Identifier
1376836916
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07001314A Issued in IN
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

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300026160MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190603002758 IN Practitioner - Podiatry 6901037324 Reassigns benefits to 1 organization

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
Goshen Health System IncGroup PAC ID 4880598572, 135 clinicians

Practice addresses (Care Compare)

1824 Dorchester CT
Suite a
Goshen, IN 46526-6819
Phone (574) 534-2548

Hospital & facility affiliations

  • Goshen Hospital Hospital, Goshen, IN, CCN 150026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue54
Removal of skin lesions13
Removal of nail tissue258
Removal or shaving of skin growth76
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Hospital Association Inc Current Accepting new patients
Goshen Health System Inc CurrentSince Jul 15, 2019 Accepting new patients
Goshen Health System Inc CurrentSince Jul 15, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.