Organization Active NPI

Frankford Podiatry Associates, PC

  • Primary Podiatric Medicine Podiatrist
  • Philadelphia, PA
National Provider Identifier
1841349438
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
FRANKFORD PODIATRY ASSOCIATES, PC
Practice address
1546 Pratt St
Philadelphia, PA 19124-1923
Phone
(215) 533-8555
Fax
(215) 533-8656
NPI assigned
Jan 10, 2007
Last updated
Nov 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Dr. Ketan H Kothari, D.P.M.NPI 1134280795
Title
President
Phone
(215) 533-8555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X PA Primary

Addresses

Primary practice location

1546 Pratt St
Philadelphia, PA 19124-1923

Mailing address

1546 Pratt St
Philadelphia, PA 19124-1923
Phone (215) 533-8555

Other identifiers 4

IdentifierTypeStateIssuer
0060837000OtherPAPA. BLUE SHIELD
30003475OtherPAKEYSTONE MERCY
1425122MedicaidPA
01530OtherPAHEALTH PARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101021000617 PA Part B Supplier - Clinic/Group Practice 2769675867 Receives reassigned benefits from 3 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

10431 Academy Rd
Ste M
Philadelphia, PA 19114
Phone (215) 612-2072

1546 Pratt St
Philadelphia, PA 19124
Phone (215) 533-8555

3998 Red Lion Rd
Ste 212
Philadelphia, PA 19114
Phone (215) 824-4141

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1841349438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 PRATT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241923",
            "telephone_number": "215-533-8555",
            "fax_number": "215-533-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 PRATT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191241923",
            "telephone_number": "215-533-8555",
            "fax_number": "215-533-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKFORD PODIATRY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "KOTHARI",
        "authorized_official_first_name": "KETAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-533-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA. BLUE SHIELD",
            "identifier": "0060837000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30003475",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1425122",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "01530",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.