Individual provider Active NPI

Dorothy H Kurtz Phelan, D.P.M.

  • Podiatrist
  • Peabody, MA
National Provider Identifier
1851499768
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2374 Issued in MA
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

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200148199OtherMETAX ID #
03Y002802ME02OtherNHANTHEM NH
22010099OtherMEMAINECARE IND#
060678OtherMEANTHEM
1841270642OtherMEGROUP NPI#
1851499768OtherMEINDIVIDUAL NPI #

Other names 1

  • Dorothy H Kurtz Professional name

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
I20111207000475 MA Practitioner - Podiatry 0547291452 Reassigns benefits to 2 organizations

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 100Reported as group
Quality
76.43
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2374MAMDClinical Psychologist
POD1030MEMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Luma Podiatry & Wound Care, PLLC CurrentSince Sep 28, 2025 Accepting new patients
Brian D Tedesco, DPM & George a Abboud, DPM PC Podiatrist CurrentSince Nov 19, 2022 Accepting new patients
Brian D Tedesco, DPM & George a Abboud, DPM PC Podiatrist CurrentSince Nov 19, 2022 Accepting new patients
Seacoast Foot & Ankle Specialists Podiatrist PastSince Sep 1, 2003 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.

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": "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

Verify at the official NPI Registry.