Kevin Koloseus Palmer, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO 3230 Issued in FL

Practice address

9970 Central Park Blvd N
300
Boca Raton, FL 33428-2231

Phone

(561) 488-2200

Fax

(561) 488-1064

NPI assigned

Apr 19, 2007

Last updated

Aug 9, 2012By 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 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ian S Goldbaum DPM PAGroup PAC ID 3870650864, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• All About You Home Health Agency Inc Home health agency, Boca Raton, FL, CCN 109462
• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ian S Goldbaum DPM PA

  • Podiatric Clinic/Center
  • Delray Beach, FL
  • NPI 1538331210

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• South Florida Hand and Orthopaedic Center PA

  • Specialist
  • Boca Raton, FL
  • NPI 1205846730
  Medicare reassignment NPD

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

• All About You Home Health Agency, Inc.

  • Home Health Agency
  • Boca Raton, FL
  • NPI 1700067683
  Care Compare affiliation
• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation
• Delray Medical Center, Inc.

  dba Delray Medical Center

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1396962627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N",
            "address_2": "300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282231",
            "telephone_number": "561-488-2200",
            "fax_number": "561-488-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N",
            "address_2": "300",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282231",
            "telephone_number": "561-488-2200",
            "fax_number": "561-488-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KEVIN",
        "middle_name": "KOLOSEUS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 3230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340647400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Therapy Inc.
• Palm Behavioral Services Inc
• Palm Behavioral Services Inc
• Palm Orthopedics and Rehabilitation, LLC
• Palmbeach Psychotherapy LLC
• Lisa C Palmer, PHD, LMFT, CHT
• Jaret Palmira
• Daiane Palmquist
• Dominique Palumbo
• Ralph Palumbo, MD

• Foot & Ankle Surgery Podiatrist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.