Individual provider Active NPI

Faried Muntaser, DPM

  • Podiatrist
  • Cleveland, OH
National Provider Identifier
1427019074
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003302 Issued in OH
Practice address
11602 Kinsman Rd
Cleveland, OH 44120-4318
Phone
(216) 283-2800
NPI assigned
Mar 31, 2006
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003302 OH Primary

Addresses

Primary practice location

11602 Kinsman Rd
Cleveland, OH 44120-4318

Mailing address

11602 Kinsman Rd
Cleveland, OH 44120-4318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20031217000559 OH Practitioner - Podiatry 8527965656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11602 Kinsman Rd
Cleveland, OH 44120-4318
Phone (216) 283-2800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of skin lesions29
Removal of nail tissue87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003302OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinsman Foot & Ankle Center Inc. Podiatrist CurrentSince May 1, 2006 Accepting new patients
Kinsman Foot & Ankle Center Inc Podiatrist CurrentSince May 1, 2006 Accepting new patients
Glenville Foot and Ankle Center, Inc. Podiatrist CurrentSince Jun 10, 2009 Accepting new patients
Gentle Footcare LLC Podiatrist Past Accepting new patients
Thomas W Inwood DPM Inc Podiatrist Past Accepting new patients
Gentle Footcare LLC Podiatrist Past Accepting new patients
Foot & Ankle Health Center PC Past Accepting new patients
Gentle Footcare LLC Past Accepting new patients

Locations

10701 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 268-0800

11602 Kinsman Rd
Cleveland, OH 44120
Phone (216) 283-2800

Interoperability endpoints

  • Direct secure messaging: faried.muntaser@kfaaci-oh.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1427019074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11602 KINSMAN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441204318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 KINSMAN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441204318",
            "telephone_number": "216-283-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNTASER",
        "first_name": "FARIED",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.