Individual provider Active NPI

Matthew Owen Kindle, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tyler, TX
National Provider Identifier
1891920583
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2004 Issued in TX
Practice address
5826 New Copeland Rd
Tyler, TX 75703-6217
Phone
(903) 592-7200
Fax
(903) 592-7211
NPI assigned
May 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2004 TX Primary

Addresses

Primary practice location

5826 New Copeland Rd
Tyler, TX 75703-6217

Mailing address

5826 New Copeland Rd
Tyler, TX 75703-6217
Phone (903) 592-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120820000768 TX Practitioner - Podiatry 4486801883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Specialists of Tyler PAGroup PAC ID 1254438591, 2 clinicians

Practice addresses (Care Compare)

5826 New Copeland Rd
Tyler, TX 75703-6217
Phone (903) 592-7200

Hospital & facility affiliations

  • Reliant at Home Home health agency, Tyler, TX, CCN 673165
  • Baylor Scott & White Texas Spine & Joint Hospital Hospital, Tyler, TX, CCN 450864
  • Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1390
Removal of skin lesions1-10
Removal of nail tissue203
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2004TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Specialists of Tyler, PA Foot & Ankle Surgery CurrentSince Jul 2, 2012 Accepting new patients

Locations

5826 New Copeland Rd
Tyler, TX 75703
Phone (903) 570-2473

Interoperability endpoints

  • Direct secure messaging: mkindle@tylerfoot.emadirect.md

Organizations & group practices 1

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 3

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": "1243209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1891920583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5826 NEW COPELAND RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036217",
            "telephone_number": "903-592-7200",
            "fax_number": "903-592-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5826 NEW COPELAND RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036217",
            "telephone_number": "903-592-7200",
            "fax_number": "903-592-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDLE",
        "first_name": "MATTHEW",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-25",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.