Individual provider Active NPI

Kimberly Inocco, DPM

  • Foot & Ankle Surgery Podiatrist
  • Glastonbury, CT
National Provider Identifier
1821550757
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1142 Issued in CT
Practice address
300 Hebron Ave Ste 104
Glastonbury, CT 06033-2176
Phone
(860) 633-9004
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00368700 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X 1142 CT Primary

Addresses

Primary practice location

300 Hebron Ave Ste 104
Glastonbury, CT 06033-2176

Mailing address

300 Hebron Ave Ste 104
Glastonbury, CT 06033-2176
Phone (860) 633-9004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20230503001517 CT Practitioner - Podiatry 7517322142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vale Foot and Ankle Surgery, PLLCGroup PAC ID 6305275454, 4 clinicians

Practice addresses (Care Compare)

350 Ctr Rock GRN
Suite 3
Oxford, CT 06478-3170
Phone (203) 941-6999

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue134
Removal of skin lesions17
Removal of nail tissue372
Removal or shaving of skin growth119
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00368700NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vale Foot and Ankle Surgery, PLLC Foot & Ankle Surgery CurrentSince Mar 27, 2023 Accepting new patients
Vale Foot and Ankle Surgery, PLLC Foot & Ankle Surgery CurrentSince Mar 27, 2023 Accepting new patients

Locations

300 Hebron Ave
Ste 104
Glastonbury, CT 06033
Phone (203) 941-6999

350 Center Rock Grn
Ste 3
Oxford, CT 06478
Phone (203) 870-1796

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21145/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kimberly.inocco.1@21145.direct.athenahealth.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 and National Provider Directory roles.

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1821550757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HEBRON AVE STE 104",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332176",
            "telephone_number": "860-633-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEBRON AVE STE 104",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332176",
            "telephone_number": "860-633-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INOCCO",
        "first_name": "KIMBERLY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00368700",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "1142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.