Individual provider Active NPI

Jeffrey Elwood Kauffman, DPM

  • Foot & Ankle Surgery Podiatrist
  • York, PA
National Provider Identifier
1467440974
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC005598 Issued in PA
Practice address
2410 S Queen St
York, PA 17402-4941
Phone
(717) 718-5511
Fax
(717) 718-5381
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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 SC005598 PA Primary

Addresses

Primary practice location

2410 S Queen St
York, PA 17402-4941

Mailing address

2410 S Queen St
York, PA 17402-4941
Phone (717) 718-5511

Other identifiers 4

IdentifierTypeStateIssuer
1017924830001MedicaidPA
452133OtherPAHEALTHAMERICA
50063406OtherPACAPITAL BLUE CROSS
1875012OtherPABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060814000131 PA Practitioner - Podiatry 3678576618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2050 E Market St
York, PA 17402-2844
Phone (717) 718-5511

2410 S Queen St
York, PA 17402-4941
Phone (717) 718-5511

500 Greenbriar Rd
York, PA 17404-1335
Phone (717) 718-5511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue255
Removal of skin lesions328
Removal of nail tissue2680
Removal or shaving of skin growth676
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Ankle & Foot Specialists PC Foot & Ankle Surgery CurrentSince Jul 19, 2006 Accepting new patients
Premier Ankle & Foot Specialists PC Foot & Ankle Surgery CurrentSince Sep 1, 2006 Accepting new patients
Premier Ankle & Foot Specialists PC Foot & Ankle Surgery Past Accepting new patients

Locations

2050 E Market St
York, PA 17402
Phone (717) 718-5511

2410 S Queen St
York, PA 17402
Phone (717) 718-5511

500 Greenbriar Rd
York, PA 17404
Phone (717) 718-5511

Interoperability endpoints

  • Direct secure messaging: jeffrey.kauffman.1@7838.direct.athenahealth.com

Organizations & group practices 3

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 5

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1467440974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024941",
            "telephone_number": "717-718-5511",
            "fax_number": "717-718-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024941",
            "telephone_number": "717-718-5511",
            "fax_number": "717-718-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "JEFFREY",
        "middle_name": "ELWOOD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017924830001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA",
            "identifier": "452133",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50063406",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1875012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.