Individual provider Active NPI

Kari Phan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Framingham, MA
National Provider Identifier
1831718840
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
NONE Issued in MA
Practice address
61 Lincoln St Ste 210
Framingham, MA 01702-8264
Phone
(508) 872-9288
Fax
(508) 620-7368
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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 NONE MA Primary

Addresses

Primary practice location

61 Lincoln St Ste 210
Framingham, MA 01702-8264

Mailing address

115 Lincoln St
Framingham, MA 01702-6358

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
I20230816000152 MA Practitioner - Podiatry 2062874563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Framingham Podiatry IncGroup PAC ID 1850376583, 3 clinicians

Practice addresses (Care Compare)

61 Lincoln St
Framingham, MA 01702-8264
Phone (508) 872-9288

Hospital & facility affiliations

  • Metrowest Medical Center Hospital, Framingham, MA, CCN 220175

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue63
Removal of skin lesions1-10
Removal of nail tissue373
Removal or shaving of skin growth161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NONEMAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Framingham Podiatry Inc Foot & Ankle Surgery CurrentSince Sep 18, 2023 Accepting new patients

Locations

61 Lincoln St
Ste 210
Framingham, MA 01702
Phone (508) 820-9699

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEEBCD
  • Direct secure messaging: kari.phan.1@966.direct.athenahealth.com

Organizations & group practices 1

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 1

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1831718840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LINCOLN ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 LINCOLN ST STE 210",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028264",
            "telephone_number": "508-872-9288",
            "fax_number": "508-620-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "KARI",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.