Individual provider Active NPI

Kenneth R Foster, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fairfield Township, OH
National Provider Identifier
1457616450
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36003740 Issued in OH
Practice address
6645 Morris Rd
Fairfield Township, OH 45011-5417
Phone
(513) 785-3700
Fax
(513) 785-3709
NPI assigned
Jul 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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 36003740 OH Primary

Addresses

Primary practice location

6645 Morris Rd
Fairfield Township, OH 45011-5417

Mailing address

6645 Morris Rd
Fairfield Township, OH 45011-5417
Phone (513) 785-3700

Other practice location 1

840 NW Washington Blvd Ste A
Hamilton, OH 45013-6381
Phone (513) 867-5770

Other identifiers 1

IdentifierTypeStateIssuer
0135695MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kfoster567299@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

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
I20150721001605 OH Practitioner - Podiatry 9931412889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

1391 Main St
Hamilton, OH 45013-1077
Phone (513) 867-9000

2449 Ross Millville Rd
Suite 100
Hamilton, OH 45013-8951
Phone (513) 867-3331

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (937) 395-8646

6645 Morris Rd
Fairfield Township, OH 45011-5417
Phone (937) 643-9299

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue110
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003740OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients

Locations

6645 Morris Rd
Fairfield Township, OH 45011
Phone (513) 261-6540

1391 Main St
Hamilton, OH 45013
Phone (513) 867-9000

2449 Ross Millville Rd
Ste 100
Hamilton, OH 45013
Phone (513) 867-3331

2449 Ross Millville Rd
Ste 265
Hamilton, OH 45013
Phone (513) 829-7133

840 NW Washington Blvd
Ste A
Hamilton, OH 45013
Phone (513) 867-4165

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

5095 University Park Blvd
Oxford, OH 45056
Phone (513) 867-1200

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1457616450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 MORRIS RD",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450115417",
            "telephone_number": "513-785-3700",
            "fax_number": "513-785-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 MORRIS RD",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450115417",
            "telephone_number": "513-785-3700",
            "fax_number": "513-785-3709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 NW Washington Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450136381",
            "country_code": "US",
            "telephone_number": "513-867-5770",
            "fax_number": "513-737-2468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "KENNETH",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36003740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135695",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kfoster567299@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "6645 Morris Rd",
            "city": "Fairfield Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450115417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "6645 Morris Rd",
            "city": "Fairfield Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450115417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfield Township, OH

Sources for this page

Verify at the official NPI Registry.