Individual provider Active NPI

Stephen Edward Dunham Sr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Kingston, NY
National Provider Identifier
1508387655
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO6419 Issued in NY
Practice address
103 Hurley Ave
Kingston, NY 12401-2829
Phone
(845) 339-4191
Fax
(845) 331-6894
NPI assigned
Jun 29, 2017
Last updated
Jan 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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 PO6419 NY Primary

Addresses

Primary practice location

103 Hurley Ave
Kingston, NY 12401-2829

Mailing address

103 Hurley Ave
Kingston, NY 12401-2829
Phone (845) 339-4191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200911000261 NY Practitioner - Podiatry 8628496478 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Forward Podiatry PCGroup PAC ID 3971995697, 29 clinicians

Practice addresses (Care Compare)

918 James St
Syracuse, NY 13203-2503
Phone (646) 921-0907

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as group
Quality
93.43
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007110NYMDAcupuncturist
PO6419NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Oct 7, 2024 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Oct 7, 2024 Accepting new patients
Andrew Hune DPM, PLLC Foot & Ankle Surgery CurrentSince Nov 18, 2023 Accepting new patients
Andrew Hune, DPM PLLC Foot & Ankle Surgery CurrentSince Nov 18, 2023 Accepting new patients
Foot Forward Podiatry PC CurrentSince Jul 1, 2025 Accepting new patients
Foot Forward Podiatry, LLC Foot & Ankle Surgery Past Accepting new patients

Locations

1971 Western Ave
Ste 8
Albany, NY 12203
Phone (518) 456-2014

4 Atrium Dr
Ste 250
Albany, NY 12205
Phone (518) 439-0423

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300

261 Delaware Ave
Delmar, NY 12054
Phone (518) 439-0423

1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

130 North St
Walton, NY 13856
Phone (607) 865-6541

94 South Ave
Harrisonburg, VA 22801
Phone (276) 638-8701

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1508387655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012829",
            "telephone_number": "845-339-4191",
            "fax_number": "845-331-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012829",
            "telephone_number": "845-339-4191",
            "fax_number": "845-331-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "STEPHEN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "PO6419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.