Individual provider Active NPI

Kimberly Ann Avramaut, DPM

  • Foot & Ankle Surgery Podiatrist
  • Huber Heights, OH
National Provider Identifier
1780029470
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003760 Issued in OH
Practice address
6215 Old Troy Pike
Huber Heights, OH 45424-3785
Phone
(937) 236-8111
NPI assigned
May 8, 2013
Last updated
Nov 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003760 OH Primary

Addresses

Primary practice location

6215 Old Troy Pike
Huber Heights, OH 45424-3785

Mailing address

6215 Old Troy Pike
Huber Heights, OH 45424-3785
Phone (937) 236-8111

Other identifiers 1

IdentifierTypeStateIssuer
178--29470MedicaidOH

Other names 1

  • Dr. Kimberly Ann Haas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160713000320 OH Practitioner - Podiatry 2466744388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry IncGroup PAC ID 6507936671, 16 clinicians

Practice addresses (Care Compare)

1236 Som Ctr Rd
Mayfield Heights, OH 44124-2047
Phone (216) 245-1290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as group
Quality
85.28
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions53
Removal of nail tissue155
Removal or shaving of skin growth16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Copeland DPM Inc Foot & Ankle Surgery CurrentSince Sep 1, 2023 Accepting new patients
Cary Copeland DPM Inc Foot & Ankle Surgery CurrentSince Sep 1, 2023 Accepting new patients
Cary Copeland DPM Inc Foot & Ankle Surgery Past Accepting new patients

Locations

4260 Glendale Milford Rd
Ste 103
Blue Ash, OH 45242
Phone (513) 769-4408

4010 N Bend Rd
Ste 201
Cincinnati, OH 45211
Phone (513) 451-5709

6215 Troy Pike
Huber Heights, OH 45424
Phone (937) 236-0810

1255 E Ash St
Piqua, OH 45356
Phone (513) 773-0980

1000 Michigan St
Sidney, OH 45365
Phone (937) 492-1211

2335 W Main St
Troy, OH 45373
Phone (937) 332-3668

Interoperability endpoints

  • Direct secure messaging: avramaut.kimberly.001.0350027@peafa.meditab.direct-ci.com
  • Direct secure messaging: avramaut.kimberly.002.0350027@peafa.meditab.direct-ci.com
  • Direct secure messaging: kavramaut@usfas.emadirect.md

Organizations & group practices 4

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 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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1780029470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 OLD TROY PIKE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454243785",
            "telephone_number": "937-236-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 OLD TROY PIKE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454243785",
            "telephone_number": "937-236-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVRAMAUT",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178--29470",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HAAS",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huber Heights, OH

Sources for this page

Verify at the official NPI Registry.