Individual provider Active NPI

Kairi L Horsley, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Southfield, MI
National Provider Identifier
1497065403
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002371 Issued in MI
Practice address
23077 Greenfield Rd
Ste 255
Southfield, MI 48075-3750
Phone
(248) 559-5200
Fax
(248) 599-6889
NPI assigned
Oct 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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 5901002371 MI Primary

Addresses

Primary practice location

23077 Greenfield Rd
Ste 255
Southfield, MI 48075-3750

Mailing address

23077 Greenfield Rd
Ste 255
Southfield, MI 48075-3750
Phone (248) 559-5200

Other identifiers 2

IdentifierTypeStateIssuer
2678563MedicaidMI
1497065403MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131202001342 MI Practitioner - Podiatry 1456587112
I20231106000490 WV Practitioner - Podiatry 1456587112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Hospital IncGroup PAC ID 3375444524, 155 clinicians
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 260-1443

300 S Price St
Kingwood, WV 26537-1442
Phone (304) 329-4701

61 Campus Dr
Suite 104
Martinsburg, WV 25404-7542
Phone (304) 725-2663

912 Somerset Blvd
Suite 101
Charles Town, WV 25414-3954
Phone (304) 725-2663

Hospital & facility affiliations

  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
  • Jefferson Medical Center Hospital, Ranson, WV, CCN 511319

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue125
Removal of nail tissue234
Removal or shaving of skin growth17
Skin biopsy21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10516WVMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation Podiatrist CurrentSince Sep 11, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Sep 11, 2023 Accepting new patients
City Hospital, Inc. Podiatrist CurrentSince Nov 29, 2024 Accepting new patients
City Hospital Inc Current Accepting new patients

Locations

300 S Price St
Kingwood, WV 26537
Phone 3043291400287

61 Campus Dr
Ste 104
Martinsburg, WV 25404
Phone (304) 596-5615

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

Interoperability endpoints

  • Direct secure messaging: khorsley@direct.dmc.org

Organizations & group practices 4

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 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": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1497065403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "STE 255",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753750",
            "telephone_number": "248-559-5200",
            "fax_number": "248-599-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "STE 255",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753750",
            "telephone_number": "248-559-5200",
            "fax_number": "248-599-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSLEY",
        "first_name": "KAIRI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-13",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2678563",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497065403",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.