Kenneth R Wilhelm, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

0103000986 Issued in VA

Practice address

6101 Redwood Square Ctr
Suite 303
Centreville, VA 20121-4265

Phone

(703) 996-3000

Fax

(703) 229-1152

NPI assigned

Sep 29, 2005

Last updated

Nov 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clifton Foot and Ankle Center P.C.

  • Foot & Ankle Surgery Podiatrist
  • Centreville, VA
  • NPI 1902182660

  DC, Foot Surgery

  Medicare reassignment NPD Authorized official
• Abraham a Coster DPM LTD

  dba Alexandria Podiatry Associates

  • Foot & Ankle Surgery Podiatrist
  • Alexandria, VA
  • NPI 1609966514
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Uva Prince William Medical Center

  dba UVA Health Haymarket Medical Center

  • General Acute Care Hospital
  • Haymarket, VA
  • NPI 1124369137
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1841287414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 REDWOOD SQUARE CTR",
            "address_2": "SUITE 303",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201214265",
            "telephone_number": "703-996-3000",
            "fax_number": "703-229-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 REDWOOD SQUARE CTR",
            "address_2": "SUITE 303",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201214265",
            "telephone_number": "703-996-3000",
            "fax_number": "703-229-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103000986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009302531",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna L Webb, DPT
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• Clara Myung-Hee Yi, L. AC
• Kwang Y Yi, PT

• Foot Surgery Podiatrist in Centreville, VA
• Providers in Centreville, VA by specialty
• Foot Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.

Verify at the official NPI Registry.