Individual provider Active NPI

Robert Kelemen

  • Foot & Ankle Surgery Podiatrist
  • Waltham, MA
National Provider Identifier
1801869342
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2001 Issued in MA
Practice address
20 Hope Ave Ste 102
Waltham, MA 02453-2717
Phone
(781) 899-9622
Fax
(508) 473-5295
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2001 MA Primary

Addresses

Primary practice location

20 Hope Ave Ste 102
Waltham, MA 02453-2717

Mailing address

247 West Princeton Road
Westminster, MA 01473
Phone (781) 899-9622

Other practice location 1

26 Asylum St
Milford, MA 01757-1266
Phone (781) 899-9622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060404000515 MA Practitioner - Podiatry 9335157221 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Milford, MA; Waltham, MA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Hope Ave
Suite 102
Waltham, MA 02453-2717
Phone (781) 899-9622

26 Asylum St
Milford, MA 01757-1266
Phone (508) 473-5959

Hospital & facility affiliations

  • Milford Regional Medical Center Hospital, Milford, MA, CCN 220090
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163

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 tissue90
Removal of skin lesions20
Removal of nail tissue88
Removal or shaving of skin growth142
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Specialists of New England PLLC Foot & Ankle Surgery CurrentSince Apr 1, 2022 Accepting new patients

Locations

449 Route 130
Ste 5
Sandwich, MA 02563
Phone (508) 888-8338

20 Hope Ave
Ste 102
Waltham, MA 02453
Phone (617) 244-5355

Interoperability endpoints

  • Direct secure messaging: footdockelemen@tfs-ma.direct.office.nextgen.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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 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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1801869342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 WEST PRINCETON ROAD",
            "city": "WESTMINSTER",
            "state": "MA",
            "postal_code": "01473",
            "telephone_number": "781-899-9622",
            "fax_number": "781-899-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOPE AVE STE 102",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532717",
            "telephone_number": "781-899-9622",
            "fax_number": "508-473-5295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Asylum St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MA",
            "postal_code": "017571266",
            "country_code": "US",
            "telephone_number": "781-899-9622",
            "fax_number": "508-473-5295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELEMEN",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "2001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.