Individual provider Active NPI

Kathleen Panepinto, DPM

  • Podiatrist
  • Athens, PA
National Provider Identifier
1720083280
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003858L Issued in PA
Practice address
417 N Main St
Athens, PA 18810-1817
Phone
(570) 888-3668
Fax
(570) 888-0354
NPI assigned
Jun 20, 2005
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC003858L PA Primary

Addresses

Primary practice location

417 N Main St
Athens, PA 18810-1817

Mailing address

417 N Main St
Athens, PA 18810-1817
Phone (570) 888-3668

Other identifiers 1

IdentifierTypeStateIssuer
0016030000005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20031218000569 PA Practitioner - Podiatry 5991601502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PanhatGroup PAC ID 7810893419, 2 clinicians

Practice addresses (Care Compare)

1 Guthrie SQ
Sayre, PA 18840-1625

417 N Main St
Athens, PA 18810-1817
Phone (570) 888-3668

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 tissue70
Removal of nail tissue657
Removal or shaving of skin growth108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steuben Podiatry NA LLP Podiatrist CurrentSince Sep 16, 1997 Accepting new patients
Panhat CurrentSince Dec 12, 2003 Accepting new patients
Achilles Foot Center PSC Podiatrist PastSince Sep 5, 2023 Accepting new patients

Locations

154 E 2nd St
Corning, NY 14830
Phone (607) 936-6933

417 N Main St
Athens, PA 18810
Phone (570) 888-2122

200 S Main St
Athens, PA 18810
Phone (570) 731-6919

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Organizations & group practices 3

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1720083280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N MAIN ST",
            "city": "ATHENS",
            "state": "PA",
            "postal_code": "188101817",
            "telephone_number": "570-888-3668",
            "fax_number": "570-888-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N MAIN ST",
            "city": "ATHENS",
            "state": "PA",
            "postal_code": "188101817",
            "telephone_number": "570-888-3668",
            "fax_number": "570-888-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANEPINTO",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003858L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016030000005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, PA

Sources for this page

Verify at the official NPI Registry.