Individual provider Active NPI

Stephanie Kane, DPM

  • Podiatrist
  • Loxahatchee, FL
National Provider Identifier
1598285207
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4168 Issued in FL
Practice address
12983 Southern Blvd Ste 206
Loxahatchee, FL 33470-9207
Phone
(561) 203-9285
Fax
(561) 576-0809
NPI assigned
Jun 23, 2017
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4168 FL Primary

Addresses

Primary practice location

12983 Southern Blvd Ste 206
Loxahatchee, FL 33470-9207

Mailing address

12983 Southern Blvd Ste 206
Loxahatchee, FL 33470-9207
Phone (561) 203-9285

Other practice location 1

6080 Boynton Beach Blvd Ste 100
Boynton Beach, FL 33437-3586
Phone (561) 203-9285

Other identifiers 1

IdentifierTypeStateIssuer
114223400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200618001193 FL Practitioner - Podiatry 0446672547 Reassigns benefits to 2 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
Signature Foot and Ankle, LLCGroup PAC ID 4082094230, 4 clinicians

Practice addresses (Care Compare)

12983 Southern Blvd
Suite 206
Loxahatchee, FL 33470-9207
Phone (561) 203-9285

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue24
Removal of skin lesions12
Removal of nail tissue138
Removal or shaving of skin growth12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4168FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Foot & Ankle, LLC Podiatrist CurrentSince Mar 28, 2022 Accepting new patients
Cosmetic Foot Ankle & Leg Vein Center LLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

670 Glades Rd
Ste 320
Boca Raton, FL 33431
Phone (561) 395-9225

6080 W Boynton Beach Blvd
Ste 100
Boynton Beach, FL 33437
Phone (561) 203-9285

12983 Southern Blvd
Ste 206
Loxahatchee, FL 33470
Phone (561) 203-9285

Organizations & group practices 2

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 2

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": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1598285207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12983 SOUTHERN BLVD STE 206",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709207",
            "telephone_number": "561-203-9285",
            "fax_number": "561-576-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12983 SOUTHERN BLVD STE 206",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709207",
            "telephone_number": "561-203-9285",
            "fax_number": "561-576-0809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6080 Boynton Beach Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373586",
            "country_code": "US",
            "telephone_number": "561-203-9285",
            "fax_number": "561-516-8813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANE",
        "first_name": "STEPHANIE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114223400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.