Timothy A Kirk, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC004605L Issued in PA

Practice address

5TH and Montgomery
Suite 102
Boyertown, PA 19512-1300

Phone

(610) 367-7000

Fax

(610) 367-4559

NPI assigned

Oct 2, 2006

Last updated

Apr 22, 2008By 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 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

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

Temple University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Twin Rivers Podiatry of Boyertown

  • Podiatrist
  • Boyertown, PA
  • NPI 1891977088
  Medicare reassignment Authorized official
• Twin Rivers Podiatry P a

  • Foot & Ankle Surgery Podiatrist
  • Nazareth, PA
  • NPI 1770531139
  NPD (past)
• Northwest Indiana Podiatry Clinic, LLC

  • Foot & Ankle Surgery Podiatrist
  • Munster, IN
  • NPI 1932305117
  NPD (past)
• The Institute of Foot & Ankle Reconstructive Surgery, LLC

  • Foot & Ankle Surgery Podiatrist
  • Merrillville, IN
  • NPI 1932395464
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1871686782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5TH AND MONTGOMERY",
            "address_2": "SUITE 102",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195121300",
            "telephone_number": "610-367-7000",
            "fax_number": "610-367-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5TH AND MONTGOMERY",
            "address_2": "SUITE 102",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195121300",
            "telephone_number": "610-367-7000",
            "fax_number": "610-367-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004605L",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004605L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1732823",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50074067",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2400406000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2400406",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James D. Mickle Jr. MD
• John F. Hyatt, D.D.S., P.C.
• Maria A Keeler, M.A.
• Marie A Kershner, DMD
• Kenneth Kim, PHARMD
• Monica Maria Knarr
• KS Dental
• Bonnie Langan, COTA
• Lehigh Valley Physician Group (LVPG Family and Internal Medicine - Boyertown)
• William James Lien, M.D.

• Podiatrist in Boyertown, PA
• Providers in Boyertown, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.