Individual provider Active NPI

Andreas Kaikis, DPM

  • Podiatrist
  • Hagerstown, MD
National Provider Identifier
1811384530
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01712 Issued in MD
Practice address
11110 Medical Campus Rd Ste 205
Hagerstown, MD 21742-6797
Phone
(301) 665-4950
Fax
(301) 665-4956
NPI assigned
Apr 21, 2015
Last updated
Feb 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD001421 GA
Foot & Ankle Surgery Podiatrist 213ES0103X 01712 MD
Podiatrist 213E00000X 01712 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd Ste 205
Hagerstown, MD 21742-6797

Mailing address

11110 Medical Campus Rd Ste 205
Hagerstown, MD 21742-6797
Phone (301) 665-4950

Other practice location 1

544 W Hill St
Thomson, GA 30824
Phone (706) 595-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20210304000204 MD Practitioner - Podiatry 9133452972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

11110 Medical Campus Rd
Suite 205
Hagerstown, MD 21742-6797
Phone (301) 665-4950

187 Thomas Johnson Dr
Frederick, MD 21702-4503

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)17
Melanoma (skin cancer) excision1-10
Removal of tissue158
Removal of skin lesions12
Removal of nail tissue340
Removal or shaving of skin growth271
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Mar 1, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Medical Practices of Antietam, LLC CurrentSince Jan 1, 2022 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Jan 1, 2022 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Mar 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

187 Thomas Johnson Dr
Ste 1
Frederick, MD 21702
Phone (301) 378-9421

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

11110 Medical Campus Rd
Ste 205
Hagerstown, MD 21742
Phone (301) 302-0503

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

Organizations & group practices 7

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": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1811384530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 205",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426797",
            "telephone_number": "301-665-4950",
            "fax_number": "301-665-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 205",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426797",
            "telephone_number": "301-665-4950",
            "fax_number": "301-665-4956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "544 W Hill St",
            "address_purpose": "LOCATION",
            "city": "Thomson",
            "state": "GA",
            "postal_code": "30824",
            "country_code": "US",
            "telephone_number": "706-595-8787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAIKIS",
        "first_name": "ANDREAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001421",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01712",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.