Individual provider Active NPI

Kale Jo Merrell, DPM

  • Foot & Ankle Surgery Podiatrist
  • Spearfish, SD
National Provider Identifier
1437647344
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
253 Issued in SD
Practice address
1410 North Ave Ste 1
Spearfish, SD 57783-1574
Phone
(605) 722-3668
Fax
(605) 722-3669
NPI assigned
Apr 26, 2018
Last updated
Jul 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 253 SD Primary

Addresses

Primary practice location

1410 North Ave Ste 1
Spearfish, SD 57783-1574

Mailing address

1410 North Ave Ste 1
Spearfish, SD 57783-1574
Phone (605) 722-3668

Other identifiers 3

IdentifierTypeStateIssuer
1255401196OtherTXCOMPL.ETE FAMILY FOOT CARE
429384701MedicaidTX
018805401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20231130000764 SD Practitioner - Podiatry 2264782218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1410 N Ave
Suite 1
Spearfish, SD 57783-1574
Phone (605) 722-3668

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue25
Removal of skin lesions1-10
Removal of nail tissue234
Removal or shaving of skin growth1176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
253SDMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Merrell Foot & Ankle PLLC CurrentSince Sep 13, 2023 Accepting new patients
Joseph M Caporusso DPM PA Foot & Ankle Surgery PastSince Aug 15, 2021 Accepting new patients

Locations

1410 North Ave
Ste 1
Spearfish, SD 57783
Phone (605) 642-0390

Organizations & group practices 2

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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1437647344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 NORTH AVE STE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831574",
            "telephone_number": "605-722-3668",
            "fax_number": "605-722-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 NORTH AVE STE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831574",
            "telephone_number": "605-722-3668",
            "fax_number": "605-722-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRELL",
        "first_name": "KALE",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SD",
            "license": "253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPL.ETE FAMILY FOOT CARE",
            "identifier": "1255401196",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429384701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018805401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

Verify at the official NPI Registry.