Individual provider Active NPI

Kevin T Quang, DPM

  • Podiatrist
  • Tulsa, OK
National Provider Identifier
1376980193
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
319 Issued in OK
Practice address
5711 E 71St St Ste 115
Tulsa, OK 74136-6655
Phone
(918) 494-2955
Fax
(918) 494-2905
NPI assigned
Jun 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 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 319 OK Primary

Addresses

Primary practice location

5711 E 71St St Ste 115
Tulsa, OK 74136-6655

Mailing address

701 W. Elgin St
Broken Arrow, OK 74012
Phone (918) 455-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20160921002571 OK Practitioner - Podiatry 0446547228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Tulsa Foot and Ankle Specialist PLLCGroup PAC ID 1759293046, 11 clinicians

Practice addresses (Care Compare)

5711 E 71St St
Suite 115
Tulsa, OK 74136-6655
Phone 91849429021007

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue64
Removal of skin lesions70
Removal of nail tissue240
Removal or shaving of skin growth140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Tulsa Foot & Ankle Specialist PLLC Podiatrist CurrentSince Sep 1, 2016 Accepting new patients
Metro Tulsa Foot & Ankle Specialist PLLC Podiatrist CurrentSince Sep 1, 2016 Accepting new patients
Metro Tulsa Foot & Ankle Specialist PLLC Podiatrist Past Accepting new patients

Locations

701 W Elgin St
Broken Arrow, OK 74012
Phone (918) 455-2001

5711 E 71st St
Ste 115
Tulsa, OK 74136
Phone (918) 294-3668

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.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1376980193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W. ELGIN ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-455-2001",
            "fax_number": "918-301-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 E 71ST ST STE 115",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366655",
            "telephone_number": "918-494-2955",
            "fax_number": "918-494-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUANG",
        "first_name": "KEVIN",
        "middle_name": "T",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.