Individual provider Active NPI

Kathleen Alice O'Keefe, DPM

  • Foot Surgery Podiatrist
  • North Andover, MA
National Provider Identifier
1821074675
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
2207 Issued in MA
Practice address
451 Andover St
Suite 209
North Andover, MA 01845-5044
Phone
(978) 686-7623
Fax
(978) 683-9911
NPI assigned
Dec 22, 2005
Last updated
Jan 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0304 NH
Foot Surgery Podiatrist 213ES0131X 2207 MA Primary

Addresses

Primary practice location

451 Andover St
Suite 209
North Andover, MA 01845-5044

Mailing address

451 Andover St
Suite 209
North Andover, MA 01845-5044
Phone (978) 686-7623

Other identifiers 2

IdentifierTypeStateIssuer
DC3586OtherNHPALMETTO GBA RAILROAD MEDICARE
03Y007457NH02OtherNHANTHEM BLUECROSS BLUE SHIELD

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
I20081118000167 MA Practitioner - Podiatry 7315917010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Health Center of Merrimack Valley PCGroup PAC ID 8527117407, 3 clinicians

Practice addresses (Care Compare)

451 Andover St
Suite 209
North Andover, MA 01845-5070
Phone (978) 686-1623

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.61 of 100Reported as group
Quality
85.23
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue33
Removal of skin lesions23
Removal of nail tissue431
Removal or shaving of skin growth230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2207MAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group, Inc. Current Accepting new patients
Foot Health Center of Merrimack Valley PC Podiatrist CurrentSince Apr 1, 2013 Accepting new patients
Foot Health Center of Merrimack Valley - Lowell PC Foot Surgery Past Accepting new patients
Nashua Podiatry Associates, PLLC Podiatrist Past Accepting new patients
LGH Physician Associates, Inc Past Accepting new patients

Locations

451 Andover St
Ste 209
North Andover, MA 01845
Phone (978) 686-1623

1565 Main St
Ste 102
Tewksbury, MA 01876
Phone (978) 274-4100

Interoperability endpoints

  • Direct secure messaging: o'keefe.kathleen.002.0210031@fhcm.meditab.direct-ci.com
  • Direct secure messaging: o'keefe.kathleen.008.0210031@fhcm.meditab.direct-ci.com
  • Direct secure messaging: o'keefe.kathleen.009.0210031@fhcm.meditab.direct-ci.com
  • Direct secure messaging: okeefe.kathleen.mgbicare@direct.partners.masshiway.net

Organizations & group practices 5

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1821074675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST",
            "address_2": "SUITE 209",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455044",
            "telephone_number": "978-686-7623",
            "fax_number": "978-683-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST",
            "address_2": "SUITE 209",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455044",
            "telephone_number": "978-686-7623",
            "fax_number": "978-683-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KEEFE",
        "first_name": "KATHLEEN",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NH",
            "license": "0304",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "2207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "DC3586",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUECROSS BLUE SHIELD",
            "identifier": "03Y007457NH02",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.