Individual provider Active NPI

Kelly Lee Kadel, DPM

  • Podiatrist
  • West Burlington, IA
National Provider Identifier
1639160435
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00656 Issued in IA
Practice address
203 W Agency Rd
Ste. C
West Burlington, IA 52655-1676
Phone
(319) 753-1883
Fax
(319) 753-9976
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00656 IA Primary

Addresses

Primary practice location

203 W Agency Rd
Ste. C
West Burlington, IA 52655-1676

Mailing address

203 W Agency Rd
Ste. C
West Burlington, IA 52655-1676
Phone (319) 753-1883

Other identifiers 1

IdentifierTypeStateIssuer
0156505MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20050415000745 IA Practitioner - Podiatry 3779520184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1221 S Gear Ave
West Burlignton, IA 52655-1679
Phone (319) 768-1000

1401 W Agency Rd
Suite 101
West Burlington, IA 52655-1647
Phone (319) 768-3700

5445 Ave O
Fort Madison, IA 52627-9611
Phone (319) 376-2134

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.06 of 100Reported as group
Quality
64.36
Promoting interoperability
81
Improvement activities
40
Cost
75.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue120
Removal of nail tissue1238
Removal or shaving of skin growth179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00656IAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Kelly L. Kadel Heartland Foot Care Podiatrist PastSince Jan 1, 1990 Accepting new patients

Locations

3285 Main St
Keokuk, IA 52632
Phone (319) 524-6274

1401 W Agency Rd
Ste 101
West Burlington, IA 52655
Phone (319) 768-4970

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

1401 W Agency Rd
West Burlington, IA 52655
Phone (319) 768-4100

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1639160435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W AGENCY RD",
            "address_2": "STE. C",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551676",
            "telephone_number": "319-753-1883",
            "fax_number": "319-753-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W AGENCY RD",
            "address_2": "STE. C",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551676",
            "telephone_number": "319-753-1883",
            "fax_number": "319-753-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADEL",
        "first_name": "KELLY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156505",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Burlington, IA

Sources for this page

Verify at the official NPI Registry.