Individual provider Active NPI

Kristin Jane Thomas, DPM

  • Foot & Ankle Surgery Podiatrist
  • Powell, OH
National Provider Identifier
1467713362
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
FB3494971 Issued in PA
Practice address
4010 N Hampton Dr
Powell, OH 43065-8431
Phone
(614) 407-3171
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 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 FB3494971 PA Primary

Addresses

Primary practice location

4010 N Hampton Dr
Powell, OH 43065-8431

Mailing address

4010 N Hampton Dr
Powell, OH 43065-8431
Phone (614) 407-3171

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
I20221117002201 OH Practitioner - Podiatry 2769796226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peformance PodiatryGroup PAC ID 1951757806, 2 clinicians

Practice addresses (Care Compare)

4010 N Hampton Dr
Powell, OH 43065-8431
Phone (614) 407-3171

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of skin lesions17
Removal of nail tissue373
Removal or shaving of skin growth209
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peformance Podiatry Foot & Ankle Surgery CurrentSince Mar 15, 2023 Accepting new patients

Locations

4010 N Hampton Dr
Powell, OH 43065
Phone (614) 407-3171

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1467713362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 N HAMPTON DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658431",
            "telephone_number": "614-407-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 N HAMPTON DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658431",
            "telephone_number": "614-407-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KRISTIN",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "FB3494971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.