Individual provider Active NPI

Heather Dawn Kaufman, DPM

  • Foot Surgery Podiatrist
  • Anchorage, AK
National Provider Identifier
1710007091
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
668 Issued in CO
Practice address
1000 E Dimond Blvd Ste 201
Anchorage, AK 99515-2029
Phone
(907) 344-2155
Fax
(907) 344-8841
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 668 CO Primary

Addresses

Primary practice location

1000 E Dimond Blvd Ste 201
Anchorage, AK 99515-2029

Mailing address

1000 E Dimond Blvd Ste 201
Anchorage, AK 99515-2029
Phone (907) 344-2155

Other identifiers 4

IdentifierTypeStateIssuer
1710007091OtherCONPI
1720207863OtherCONPIGROUP
1710007091OtherCORAILROAD MEDICARE
66252245MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20150428002131 AK Practitioner - Podiatry 0749374247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchorage Foot and Ankle Clinic LLCGroup PAC ID 5496074262, 2 clinicians

Practice addresses (Care Compare)

1000 E Dimond Blvd
Suite 201
Anchorage, AK 99515-2029
Phone (907) 344-2155

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of skin lesions1-10
Removal of nail tissue172
Removal or shaving of skin growth56
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
668COMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Foot and Ankle Clinic, LLC Foot Surgery CurrentSince Apr 1, 2014 Accepting new patients

Locations

1000 E Dimond Blvd
Ste 201
Anchorage, AK 99515
Phone (907) 344-2155

1915 E Rezanof Dr
Kodiak, AK 99615
Phone (907) 486-3281

Interoperability endpoints

  • Direct secure messaging: anchoragefootandankleclinic.heatherkaufman@148020.advancedmd-direct.com

Organizations & group practices 1

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1710007091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E DIMOND BLVD STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152029",
            "telephone_number": "907-344-2155",
            "fax_number": "907-344-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E DIMOND BLVD STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152029",
            "telephone_number": "907-344-2155",
            "fax_number": "907-344-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "HEATHER",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CO",
            "license": "668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710007091",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPIGROUP",
            "identifier": "1720207863",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1710007091",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66252245",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.