Individual provider Active NPI

Ryan S Kemp, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Boise, ID
National Provider Identifier
1437442290
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
P-240 Issued in ID
Practice address
809 N Liberty St
Boise, ID 83704-8703
Phone
(208) 327-0627
Fax
(208) 376-5258
NPI assigned
May 26, 2011
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07001189B IN
Foot & Ankle Surgery Podiatrist 213ES0103X E5142 CA
Foot & Ankle Surgery Podiatrist 213ES0103X P-240 ID Primary

Addresses

Primary practice location

809 N Liberty St
Boise, ID 83704-8703

Mailing address

809 N Liberty St
Boise, ID 83704-8703
Phone (208) 327-0627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20160908002392 ID Practitioner - Podiatry 6103047683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Foot and Ankle AssociatesGroup PAC ID 7719947597, 4 clinicians

Practice addresses (Care Compare)

809 N Liberty St
Boise, ID 83704-8703
Phone (208) 327-0627

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue27
Removal of skin lesions1-10
Removal of nail tissue126
Removal or shaving of skin growth105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5142CAMDFoot & Ankle Surgery Podiatrist
P-240IDMDFoot & Ankle Surgery Podiatrist
07001189BINMDFoot & Ankle Surgery Podiatrist
5142CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Foot & Ankle Associates Foot & Ankle Surgery CurrentSince Aug 15, 2016 Accepting new patients
True DME Current Accepting new patients
Huntington Medical Foundation PastSince Aug 29, 2021 Accepting new patients
The Huntington Medical Foundation Past Accepting new patients
Peripheral Vascular Partners of Boise PastSince Sep 1, 2021 Accepting new patients
White Memorial Medical Group, Inc. PastSince Jul 1, 2015 Accepting new patients

Locations

809 N Liberty St
Boise, ID 83704
Phone (208) 327-0627

2947 E Magic View Dr
Ste 2
Meridian, ID 83642
Phone 2088889876113

2635 Caldwell Blvd
Ste 101
Nampa, ID 83651
Phone 2084631660113

Interoperability endpoints

  • Direct secure messaging: ryankemp@ifa.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1437442290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N LIBERTY ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048703",
            "telephone_number": "208-327-0627",
            "fax_number": "208-376-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N LIBERTY ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048703",
            "telephone_number": "208-327-0627",
            "fax_number": "208-376-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "RYAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001189B",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5142",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ID",
            "license": "P-240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.