Kathleen Rose Skelly, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

006515 Issued in NY

Practice address

1692 Central Ave
Albany, NY 12205-4045

Phone

(518) 869-5799

Fax

(518) 862-1489

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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 Foot Care of Statesboro

  • Foot & Ankle Surgery Podiatrist
  • Statesboro, GA
  • NPI 1740499664
  NPD (past) Authorized official
• Hudson Park Medicine PC

  • Clinic/Center
  • Forest Hills, NY
  • NPI 1568127991
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1407862931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054045",
            "telephone_number": "518-869-5799",
            "fax_number": "518-862-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054045",
            "telephone_number": "518-869-5799",
            "fax_number": "518-862-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELLY",
        "first_name": "KATHLEEN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "000942",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03767782",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198604667A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "978002",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren T Siy-Keane, RPA-C
• Andre Louis Skala, DNP, CRNA
• Jolanta Skapiec
• Gail Skapik-Hurewitz
• Kara E. Skelly
• Michele Marie Skiba, RPH
• Skin Specialists of the Capital Region, PLLC
• Joseph Skinner
• Marissa E Skinner, MS. ED.
• Ahvegyil Skolnick

• Foot & Ankle Surgery Podiatrist in Albany, NY
• Providers in Albany, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.