Individual provider Active NPI

Christopher Jon Kardohely, DPM

  • Podiatrist
  • Beaufort, SC
National Provider Identifier
1750366373
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002586 Issued in OH
Practice address
Naval Hospital Beaufort
1 Pickney Blvd.
Beaufort, SC 29902
Phone
(843) 228-5600
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002586 OH Primary

Addresses

Primary practice location

Naval Hospital Beaufort
1 Pickney Blvd.
Beaufort, SC 29902

Mailing address

Naval Hospital Beaufort
1 Pickney Blvd.
Beaufort, SC 29902
Phone (843) 228-5600

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
I20191014003023 PA Practitioner - Podiatry 8426247370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Brandon J Wilt DPM LLCGroup PAC ID 3870716749, 3 clinicians

Practice addresses (Care Compare)

138 Memorial Dr
Everett, PA 15537-7028
Phone (814) 623-6191

Hospital & facility affiliations

  • Upmc Bedford Memorial Hospital, Everett, PA, CCN 390117

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue537
Removal or shaving of skin growth189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002586OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Brandon J Wilt DPM LLC Podiatrist CurrentSince Aug 24, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

138 Memorial Dr
Everett, PA 15537
Phone (814) 623-1022

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1750366373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL BEAUFORT",
            "address_2": "1 PICKNEY BLVD.",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29902",
            "telephone_number": "843-228-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAL HOSPITAL BEAUFORT",
            "address_2": "1 PICKNEY BLVD.",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29902",
            "telephone_number": "843-228-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARDOHELY",
        "first_name": "CHRISTOPHER",
        "middle_name": "JON",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.