Active NPI
Kyung Seo, D.P.M
- Foot & Ankle Surgery Podiatrist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 01762
- Practice address
- 9105 Franklin Square Dr Ste 214
Baltimore, MD 21237-3934 - Phone
- (443) 777-7631
- NPI assigned
- Jul 1, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 308647 | LA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006590 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 01762 | MD | Primary |
Addresses
Primary practice location
9105 Franklin Square Dr Ste 214
Baltimore, MD 21237-3934
Mailing address
9105 Franklin Square Dr Ste 214
Baltimore, MD 21237-3934
Phone (443) 777-7631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9105 Franklin Square Dr
Baltimore, MD 21237-3930
Phone (443) 777-7785
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 11 |
| Removal of tissue | 613 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01762 | MD | MD | Foot & Ankle Surgery Podiatrist |
| SC006590 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients |
Locations
2120 Driftwood Blvd
Kenner, LA 70065
1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655
1514 Jefferson Hwy
New Orleans, LA 70121
9105 Franklin Square Dr
Ste 214
Baltimore, MD 21237
Phone (410) 391-9144
12 Medstar Blvd
Ste 220
Bel Air, MD 21015
Phone (410) 877-8088
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
9105 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 574-1330
Organizations & group practices 5
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.
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
dba Ochsner for Childred - Metairie
- Pediatrics Physician
- Metairie, LA
- NPI 1770782534
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1184712085
-
dba MedStar Health Home Care
- Home Health Agency
- Baltimore, MD
- NPI 1790899524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1467868257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9105 FRANKLIN SQUARE DR STE 214",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212373934",
"telephone_number": "443-777-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9105 FRANKLIN SQUARE DR STE 214",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212373934",
"telephone_number": "443-777-7631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEO",
"first_name": "KYUNG",
"credential": "D.P.M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-01",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "LA",
"license": "308647",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC006590",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MD",
"license": "01762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.