Individual provider Active NPI

Brent Thomas Kempf, DPM

  • Podiatrist
  • Sayville, NY
National Provider Identifier
1659483246
Registry record updated Jul 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005677 Issued in NY
Practice address
110 Lakeland Ave
Sayville, NY 11782-1912
Phone
(631) 567-2888
Fax
(631) 567-2369
NPI assigned
Aug 31, 2006
Last updated
Jul 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005677 NY Primary
Foot Surgery Podiatrist 213ES0131X N005677 NY

Addresses

Primary practice location

110 Lakeland Ave
Sayville, NY 11782-1912

Mailing address

110 Lakeland Ave
Sayville, NY 11782-1912
Phone (631) 567-2888

Other identifiers 8

IdentifierTypeStateIssuer
1499422OtherGHI
P3265675OtherOXFORD
137686OtherVYTRA
7232934OtherCIGNA
02093709MedicaidNY
2033856OtherUNITED HEALTHCARE
N005677A87OtherHEALTHFIRST
PJ8821OtherBLUE CROSS BLUE SHIELD

Other names 1

  • Dr. B Thomas Kempf Professional name

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
I20040412001614 NY Practitioner - Podiatry 4880688902 Reassigns benefits to 1 organization
Practice locations: Port Jefferson Station, NY; Sayville, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Medical Dr
Suite B
Port Jefferson Station, NY 11776-1599
Phone (631) 928-8383

110 Lakeland Ave
Sayville, NY 11782-1912
Phone (631) 567-2888

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as individual
Quality
72.22
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue98
Removal of skin lesions11
Removal of nail tissue2518
Removal or shaving of skin growth1009
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005677NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot Care of Long Island, PLLC Podiatrist CurrentSince Feb 26, 2017 Accepting new patients
Brent Thomas Kempf, D.P.M. Podiatrist CurrentSince Aug 4, 2008 Accepting new patients
Family Foot Care of Long Island, PLLC Podiatrist CurrentSince Jun 23, 2014 Accepting new patients
Peter Taormino Past Accepting new patients

Locations

1 Medical Dr
Ste B
Port Jefferson Station, NY 11776
Phone (631) 928-8383

2 Medical Dr
Ste C
Port Jefferson Station, NY 11776
Phone (631) 591-2209

Interoperability endpoints

  • Direct secure messaging: brent.kempf.3@27969.direct.athenahealth.com

Organizations & group practices 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217030400000",
    "number": "1659483246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LAKELAND AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821912",
            "telephone_number": "631-567-2888",
            "fax_number": "631-567-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LAKELAND AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821912",
            "telephone_number": "631-567-2888",
            "fax_number": "631-567-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPF",
        "first_name": "BRENT",
        "middle_name": "THOMAS",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005677",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005677",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "1499422",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3265675",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "137686",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7232934",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02093709",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2033856",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "N005677A87",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "PJ8821",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "B",
            "last_name": "KEMPF",
            "middle_name": "THOMAS",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sayville, NY

Sources for this page

Verify at the official NPI Registry.