Active NPI
Kenneth P Pritchyk, DPM
- Podiatrist
- Lecanto, FL
National Provider Identifier
1811963473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO02787
- Practice address
- 2385 N Lecanto Hwy
Lecanto, FL 34461 - Phone
- (352) 746-0077
- Fax
- (352) 746-1704
- NPI assigned
- Feb 24, 2006
- Last updated
- Aug 20, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO02787 | FL | Primary |
Addresses
Primary practice location
2385 N Lecanto Hwy
Lecanto, FL 34461
Mailing address
PO Box 1120
Lecanto, FL 34460
Phone (352) 746-0077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340119700 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6254 W Corporate Oaks Dr
Crystal River, FL 34429-8723
Phone (352) 228-4975
Hospital & facility affiliations
- Mederi Caretenders
- Vitalcaring Group
- Pinnacle Home Care of Spring Hill Inc
- HCA Florida Citrus Hospital
- Tampa General Hospital Crystal River
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 14 |
| Melanoma (skin cancer) excision | 38 |
| Removal of tissue | 472 |
| Removal of skin lesions | 225 |
| Removal of nail tissue | 2460 |
| Removal or shaving of skin growth | 1778 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Nature Coast Foot and Ankle Center LLC | Podiatrist | Current | Accepting new patients |
| Citrus Podiatry Center PA | Podiatrist | Past | Accepting new patients |
Locations
6254 W Corporate Oaks Dr
Crystal River, FL 34429
Phone (352) 228-4975
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- kpritchyk297140@direct.tgh.org
Organizations & group practices 3
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.
-
- Foot & Ankle Surgery Podiatrist
- Crystal River, FL
- NPI 1396185526
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Podiatrist
- Lecanto, FL
- NPI 1588634968
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba VitalCaring Group
- Home Health Agency
- Crystal River, FL
- NPI 1083614119
-
- Home Health Agency
- Brooksville, FL
- NPI 1093884223
-
dba HCA Florida Citrus Hospital
- General Acute Care Hospital
- Inverness, FL
- NPI 1750780342
-
dba Pinnacle Home Care
- Home Health Agency
- Spring Hill, FL
- NPI 1467488999
-
dba Tampa General Hospital Crystal River
- General Acute Care Hospital
- Crystal River, FL
- NPI 1407637531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1811963473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1120",
"city": "LECANTO",
"state": "FL",
"postal_code": "34460",
"telephone_number": "352-746-0077",
"fax_number": "352-746-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2385 N LECANTO HWY",
"city": "LECANTO",
"state": "FL",
"postal_code": "34461",
"telephone_number": "352-746-0077",
"fax_number": "352-746-1704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITCHYK",
"first_name": "KENNETH",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO02787",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340119700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lecanto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.