Kevin J Powers

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

KEVIN J POWERS

Practice address

1791 W 3Rd St
Bloomington, IN 47404-5029

Phone

(812) 333-4422

Fax

(812) 333-6698

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Kevin J Powers, DPMNPI 1902804685

Title

Owner

Phone

(812) 333-4422

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kevin J Powers DPM Doing business as

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kevin J Powers, DPM

  • Podiatrist
  • Bloomington, IN
  • NPI 1902804685

  O20100930003372

  Same enrollment

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin J Powers, DPM

  • Podiatrist
  • Bloomington, IN
  • NPI 1902804685
  Medicare reassignment Care Compare group NPD Authorized official
• David R Northcutt, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Bloomington, IN
  • NPI 1922235340
  Medicare reassignment Care Compare group
• Joedie A Albert, RN MSN FNP

  • Nurse Practitioner
  • Washington, IN
  • NPI 1497723167
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1609947571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1981",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474021981",
            "telephone_number": "812-333-4422",
            "fax_number": "812-333-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 W 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474045029",
            "telephone_number": "812-333-4422",
            "fax_number": "812-333-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J POWERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-333-4422",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200347590A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "480019215",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kevin J Powers DPM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kevin J Powers DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Kerulis
• Kyle J Kessens, PHARMD
• Kevin Allen Kessler, MD
• Cassidy Kestle
• Lia R Kettenis, M.D.
• Kevin Powers DPM
• KGC Operator, Inc.
• Rohma Khan
• Reeya Khanal, DO
• Bharati Kharkar, MD

• Podiatrist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.