Kevin Scott Tanner, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00676 Issued in IA

Practice address

3359 Center Point Rd NE
Cedar Rapids, IA 52402-5568

Phone

(319) 393-4343

Fax

(319) 393-4464

NPI assigned

Oct 20, 2005

Last updated

Mar 12, 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

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

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Foot Care Clinic, PCGroup PAC ID 6204183080, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.4 of 100Reported as individual

Quality

81.4

Improvement activities

40

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.

• Family Foot Care Clinic, PC

  • Podiatrist
  • Cedar Rapids, IA
  • NPI 1104316108
  Medicare reassignment Care Compare group Authorized official
• Joseph M. Kukla DPM, PLLC

  dba Podiatry Associates

  • Podiatrist
  • Cedar Rapids, IA
  • NPI 1235898271
  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1881683829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 CENTER POINT RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025568",
            "telephone_number": "319-393-4343",
            "fax_number": "319-393-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3359 CENTER POINT RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025568",
            "telephone_number": "319-393-4343",
            "fax_number": "319-393-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1172692",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK PROVIDER NUMBER",
            "identifier": "10373",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanager Place
• Tanager Place (Tanager Place PMIC)
• Tanager Place
• Tanager Place (Tanager Place ICFMR)
• Michele Tangeman
• Natalie Arlene Tarkett, PHARM.D.
• Joan Tatarka, LISW
• Rachel Janet Taves, NURSE PRACTITIONER
• Sara Muhammad Tawil, LMHC-NCC
• Fidel Murua Taylor

• Podiatrist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.