Individual provider Active NPI

Roger Lee Kilfoil Jr., D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Baldwin, NY
National Provider Identifier
1699157586
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006923 Issued in NY
Practice address
830 Atlantic Ave # a
Baldwin, NY 11510-4098
Phone
(516) 623-4580
Fax
(516) 623-4588
NPI assigned
Jun 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 006923 NY Primary

Addresses

Primary practice location

830 Atlantic Ave # a
Baldwin, NY 11510-4098

Mailing address

830 Atlantic Ave # a
Baldwin, NY 11510-4098
Phone (516) 623-4580

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
I20190228001314 NY Practitioner - Podiatry 1759620297 Practice locations: Baldwin, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

830 Atlantic Ave
Suite a
Baldwin, NY 11510-4098
Phone (516) 623-4580

Hospital & facility affiliations

  • Mt. Sinai at Home Home health agency, Westbury, NY, CCN 337246
  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue915
Removal of skin lesions17
Removal of nail tissue1624
Removal or shaving of skin growth251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Harbor Podiatry Single Specialty CurrentSince Sep 25, 2022 Accepting new patients
Dr. Kim Berlin PastSince Jul 17, 2021 Accepting new patients

Locations

830 Atlantic Ave
#A
Baldwin, NY 11510
Phone (516) 223-7868

830 Atlantic Ave
Baldwin, NY 11510
Phone (516) 867-5050

830 Atlantic Ave
Ste A
Baldwin, NY 11510
Phone (516) 623-4580

830 Atlantic Ave
Ste B
Baldwin, NY 11510

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": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1699157586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 ATLANTIC AVE # A",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104098",
            "telephone_number": "516-623-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 ATLANTIC AVE # A",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104098",
            "telephone_number": "516-623-4580",
            "fax_number": "516-623-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILFOIL",
        "first_name": "ROGER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-26",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

Verify at the official NPI Registry.