Individual provider Active NPI

Karen A Stanley, DPM

  • Foot & Ankle Surgery Podiatrist
  • North Syracuse, NY
National Provider Identifier
1659358828
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N005505-1 Issued in NY
Practice address
514 S Bay Rd
North Syracuse, NY 13212-3627
Phone
(315) 458-1777
Fax
(315) 458-9661
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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 N005505-1 NY Primary

Addresses

Primary practice location

514 S Bay Rd
North Syracuse, NY 13212-3627

Mailing address

514 S Bay Rd
North Syracuse, NY 13212-3627
Phone (315) 458-1777

Other identifiers 1

IdentifierTypeStateIssuer
01969286MedicaidNY

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
I20101208001051 NY Practitioner - Podiatry 7012104623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westside Podiatry Center LLPGroup PAC ID 9739083270, 7 clinicians

Practice addresses (Care Compare)

130 E 2ND St
Oswego, NY 13126-2625
Phone (315) 532-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.81 of 100Reported as group
Quality
77.26
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue147
Removal of skin lesions36
Removal of nail tissue1124
Removal or shaving of skin growth799
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005505NYMDAcupuncturist
N005505-1NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Podiatry Center LLP Foot & Ankle Surgery CurrentSince Mar 1, 2018 Accepting new patients
Loretto Rest Realty Corporation PastSince Nov 13, 2015 Accepting new patients

Locations

5104 W Genesee St
Fl 1
Camillus, NY 13031
Phone (315) 701-3348

7458 Oswego Rd
Liverpool, NY 13090
Phone (315) 546-0285

130 E 2nd St
Oswego, NY 13126
Phone (315) 532-6600

27 Fennell St
Ste 2
Skaneateles, NY 13152
Phone (315) 685-3338

Interoperability endpoints

  • Direct secure messaging: karenstanley@westsidepodiatry.medentdirect.com

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 and National Provider Directory roles.

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1659358828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S BAY RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123627",
            "telephone_number": "315-458-1777",
            "fax_number": "315-458-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S BAY RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123627",
            "telephone_number": "315-458-1777",
            "fax_number": "315-458-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "KAREN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005505-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01969286",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

Verify at the official NPI Registry.