Individual provider Active NPI

Candice Ann Kepich, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Sarasota, FL
National Provider Identifier
1801058573
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 3465 Issued in FL
Practice address
1921 Waldemere St
Suite 106
Sarasota, FL 34239-2943
Phone
(941) 917-6232
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006061 PA
Foot & Ankle Surgery Podiatrist 213ES0103X PO 3465 FL Primary

Addresses

Primary practice location

1921 Waldemere St
Suite 106
Sarasota, FL 34239-2943

Mailing address

1921 Waldemere St
Suite 106
Sarasota, FL 34239-2943
Phone (941) 917-6232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110729000273 FL Practitioner - Podiatry 4587832910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarasota Foot Care Center PAGroup PAC ID 4880616168, 4 clinicians

Practice addresses (Care Compare)

2000 Webber St
Suite 110
Sarasota, FL 34239-5243
Phone (941) 917-6232

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue93
Removal of skin lesions1-10
Removal of nail tissue1576
Removal or shaving of skin growth1092
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 3465FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Foot Care Center PA Foot & Ankle Surgery CurrentSince Aug 1, 2012 Accepting new patients
Sarasota Foot Care Center PA Past Accepting new patients

Locations

2000 Webber St
Ste 110
Sarasota, FL 34239
Phone (941) 917-6232

1921 Waldemere St
Ste 106
Sarasota, FL 34239
Phone (941) 917-6232

7246 Beneva Rd
Sarasota, FL 34238
Phone (941) 921-1458

Interoperability endpoints

  • Direct secure messaging: ckepich@sarasotafoot.mdlogic.direct-ci.com

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, 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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1801058573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST",
            "address_2": "SUITE 106",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392943",
            "telephone_number": "941-917-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST",
            "address_2": "SUITE 106",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392943",
            "telephone_number": "941-917-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPICH",
        "first_name": "CANDICE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006061",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 3465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.