Individual provider Active NPI

Nathaniel Keplinger, DPM

  • Podiatrist
  • Roseburg, OR
National Provider Identifier
1720491046
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DP182197 Issued in OR
Practice address
1813 W Harvard Ave Ste 542
Roseburg, OR 97471-2779
Phone
(541) 673-7322
Fax
(541) 673-3615
NPI assigned
Jun 4, 2014
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Podiatrist 213E00000X DP182197 OR Primary

Addresses

Primary practice location

1813 W Harvard Ave Ste 542
Roseburg, OR 97471-2779

Mailing address

1813 W Harvard Ave Ste 542
Roseburg, OR 97471-2779
Phone (541) 673-7322

Other practice location 1

4100 W 3rd St
Dayton, OH 45428-9000
Phone (801) 318-5028

Other identifiers 1

IdentifierTypeStateIssuer
500731486MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Roseburg Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20170719001399 OR Practitioner - Podiatry 7214151919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Arizona College of Osteopathic Medicine Mid Western University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roseburg Foot and Ankle Specialists PCGroup PAC ID 1355477266, 3 clinicians

Practice addresses (Care Compare)

1813 W Harvard Ave
Suite 542
Roseburg, OR 97471-2779
Phone (541) 673-7322

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue193
Removal of skin lesions20
Removal of nail tissue857
Removal or shaving of skin growth735
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP182197ORMDPodiatrist
59OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Roseburg Foot & Ankle Specialists, P.C. Podiatrist CurrentSince Jul 3, 2017 Accepting new patients

Locations

1813 W Harvard Ave
Ste 542
Roseburg, OR 97471
Phone (541) 440-5222

2300 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-7322

Interoperability endpoints

  • Direct secure messaging: nkeplinger@roseburgpodiatry.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1720491046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 542",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712779",
            "telephone_number": "541-673-7322",
            "fax_number": "541-673-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE STE 542",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712779",
            "telephone_number": "541-673-7322",
            "fax_number": "541-673-3615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454289000",
            "country_code": "US",
            "telephone_number": "801-318-5028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEPLINGER",
        "first_name": "NATHANIEL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP182197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500731486",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Roseburg",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Roseburg",
            "address_1": "2300 NW Stewart Pkwy",
            "city": "Roseburg",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974711597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.