Individual provider Active NPI

Kevin Todd Naugle, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Shillington, PA
National Provider Identifier
1811978844
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC-003451-L Issued in PA
Practice address
654 Philadelphia Ave
Shillington, PA 19607-2769
Phone
(610) 796-9522
Fax
(610) 796-0105
NPI assigned
Nov 8, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 SC-003451-L PA Primary

Addresses

Primary practice location

654 Philadelphia Ave
Shillington, PA 19607-2769

Mailing address

654 Philadelphia Ave
Shillington, PA 19607-2769
Phone (610) 796-9522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100723000074 PA Practitioner - Podiatry 9032169289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

654 Philadelphia Ave
Shillington, PA 19607-2769
Phone (610) 796-9522

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.1 of 100Reported as group
Quality
60.21
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue65
Removal of skin lesions34
Removal of nail tissue1363
Removal or shaving of skin growth294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC-003451-LPAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Foot and Ankle Surgical Associates, Inc Foot & Ankle Surgery CurrentSince Jul 19, 1990 Accepting new patients
Berks Foot and Ankle Surgical Associates, Inc Foot & Ankle Surgery CurrentSince Jul 19, 1990 Accepting new patients

Locations

654 Philadelphia Ave
Shillington, PA 19607
Phone (610) 796-9522

Interoperability endpoints

  • Direct secure messaging: kevinnaugledpm@bfasa.medentdirect.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 6

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1811978844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 PHILADELPHIA AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196072769",
            "telephone_number": "610-796-9522",
            "fax_number": "610-796-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 PHILADELPHIA AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196072769",
            "telephone_number": "610-796-9522",
            "fax_number": "610-796-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUGLE",
        "first_name": "KEVIN",
        "middle_name": "TODD",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC-003451-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shillington, PA

Sources for this page

Verify at the official NPI Registry.