Active NPI
Dorothy H Kurtz Phelan, D.P.M.
- Podiatrist
- Peabody, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2374
- Practice address
- 100 Brooksby Village Dr
Peabody, MA 01960-1438 - Phone
- (978) 536-7850
- Fax
- (978) 536-7851
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | POD1030 | ME | |
| Podiatrist | 213E00000X | 2374 | MA | Primary |
Addresses
Primary practice location
100 Brooksby Village Dr
Peabody, MA 01960-1438
Mailing address
5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (978) 536-7850
Other practice location 1
264 Beacon St
FL 2
Boston, MA 02116-1236
Phone (617) 262-2266
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200148199 | Other | ME | TAX ID # |
| 03Y002802ME02 | Other | NH | ANTHEM NH |
| 22010099 | Other | ME | MAINECARE IND# |
| 060678 | Other | ME | ANTHEM |
| 1841270642 | Other | ME | GROUP NPI# |
| 1851499768 | Other | ME | INDIVIDUAL NPI # |
Other names 1
- Dorothy H Kurtz
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
585 Lebanon St
Melrose, MA 02176-3225
Phone (781) 979-3500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.23 of 100
- Quality
- 76.43
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 21 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2374 | MA | MD | Clinical Psychologist |
| POD1030 | ME | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luma Podiatry & Wound Care, PLLC | Current | Accepting new patients | |
| Brian D Tedesco, DPM & George a Abboud, DPM PC | Podiatrist | Current | Accepting new patients |
| Brian D Tedesco, DPM & George a Abboud, DPM PC | Podiatrist | Current | Accepting new patients |
| Seacoast Foot & Ankle Specialists | Podiatrist | Past | Accepting new patients |
| Sports Medicine North Orthopaedic Surgery, Inc. | Past | Accepting new patients |
Locations
585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026
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 and National Provider Directory roles.
-
- Clinic/Center
- Melrose, MA
- NPI 1407681505
-
dba New England Foot & Ankle Specialists
- Podiatrist
- Reading, MA
- NPI 1114981487
-
- Podiatrist
- Nashua, NH
- NPI 1740960574
-
- Specialist
- Peabody, MA
- NPI 1760423719
-
- Podiatrist
- Kittery, ME
- NPI 1841270642
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Medford, MA
- NPI 1841290467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1851499768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 EXECUTIVE DR STE 230",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212281762",
"telephone_number": "978-536-7850",
"fax_number": "978-536-7851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BROOKSBY VILLAGE DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019601438",
"telephone_number": "978-536-7850",
"fax_number": "978-536-7851"
}
],
"practiceLocations": [
{
"address_1": "264 BEACON ST",
"address_2": "FL 2",
"address_purpose": "LOCATION",
"city": "BOSTON",
"state": "MA",
"postal_code": "021161236",
"country_code": "US",
"telephone_number": "617-262-2266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KURTZ PHELAN",
"first_name": "DOROTHY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2023-04-19",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "ME",
"license": "POD1030",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "2374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "200148199",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM NH",
"identifier": "03Y002802ME02",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINECARE IND#",
"identifier": "22010099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "060678",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI#",
"identifier": "1841270642",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI #",
"identifier": "1851499768",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DOROTHY",
"last_name": "KURTZ",
"middle_name": "H",
"credential": "DPM",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.