Individual provider Active NPI

Krysia L Lepoer, DPM

  • Foot & Ankle Surgery Podiatrist
  • Providence, RI
National Provider Identifier
1679665111
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM00308 Issued in RI
Practice address
1 Randall SQ Ste 408
Providence, RI 02904-7405
Phone
(401) 453-2000
Fax
(401) 453-2002
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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 DPM00308 RI Primary

Addresses

Primary practice location

1 Randall SQ Ste 408
Providence, RI 02904-7405

Mailing address

235 Plain Street
Suite 201
Providence, RI 02905-3240
Phone (401) 861-8830

Other practice location 1

235 Plain Street
Suite 201
Providence, RI 02905-3240
Phone (401) 861-8830

Other identifiers 1

IdentifierTypeStateIssuer
7009865MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080205000284 MA Practitioner - Podiatry 6002900313
I20120402000349 RI Practitioner - Podiatry 6002900313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lepoer Podiatry, Inc.Group PAC ID 3870920838, 2 clinicians

Practice addresses (Care Compare)

1 Randall SQ
Suite 408
Providence, RI 02904-7405
Phone (401) 453-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of nail tissue703
Removal or shaving of skin growth347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM00308RIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lepoer Podiatry, Inc. Foot & Ankle Surgery CurrentSince Jan 11, 2020 Accepting new patients
Lepoer Podiatry, Inc. Foot & Ankle Surgery CurrentSince Jan 1, 2020 Accepting new patients

Locations

1 Randall Sq
Ste 408
Providence, RI 02904
Phone (401) 272-6602

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 1

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1679665111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PLAIN STREET",
            "address_2": "SUITE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053240",
            "telephone_number": "401-861-8830",
            "fax_number": "401-351-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RANDALL SQ STE 408",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029047405",
            "telephone_number": "401-453-2000",
            "fax_number": "401-453-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Plain Street",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029053240",
            "country_code": "US",
            "telephone_number": "401-861-8830",
            "fax_number": "401-351-2378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEPOER",
        "first_name": "KRYSIA",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "RI",
            "license": "DPM00308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7009865",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.