Kevin Eugene Jefferson, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO587 Issued in DC

Practice address

6323 Georgia Ave NW
Suite 202
Washington, DC 20011-1101

Phone

(202) 882-9682

Fax

(202) 882-4983

NPI assigned

Sep 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metropolitian Podiatry Assoc PLLCGroup PAC ID 3577620681, 2 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.jefferson@metropodiatryasso.ehi.direct-ci.com
• Direct secure messaging: kevin.jefferson@mpap-dc1.direct.office.nextgen.com

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.

• Metropolitian Podiatry Assoc PLLC

  • Podiatrist
  • Washington, DC
  • NPI 1174616585
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1811080229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55980",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200405980",
            "telephone_number": "202-882-9682",
            "fax_number": "202-882-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 GEORGIA AVE NW",
            "address_2": "SUITE 202",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111101",
            "telephone_number": "202-882-9682",
            "fax_number": "202-882-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "KEVIN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DC",
            "license": "PO587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027002300",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmani Jefferson
• Jade Jefferson
• Joi Nateshia Jefferson
• Judy Jefferson
• Katherine Jefferson
• Khalilah Jefferson, CRNP
• Kortney Jefferson
• Latrise Jefferson, MD
• Lawerence Joseph Jefferson II
• Mary Jefferson

• Podiatrist in Washington, DC
• Providers in Washington, DC by specialty
• Podiatrist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.