Active NPI
Kevin J Powers, DPM
- Podiatrist
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 07000615A
- Practice address
- 1791 W 3Rd St
Bloomington, IN 47404-5029 - Phone
- (812) 333-4422
- Fax
- (812) 333-6698
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 07000616 | IN | |
| Podiatrist | 213E00000X | 07000615A | IN | Primary |
Addresses
Primary practice location
1791 W 3Rd St
Bloomington, IN 47404-5029
Mailing address
PO Box 1981
Bloomington, IN 47402-1981
Phone (812) 333-4422
Other practice location 1
2900 16th St
Bedford, IN 47421-3510
Phone (812) 277-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100194880A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- College of Podiatric Med and Surgery, Des Moines University, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1791 W 3Rd St
Bloomington, IN 47404-5029
Phone (812) 333-4422
Hospital & facility affiliations
- Indiana University Health Bloomington Hospital
- Indiana University Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 11 |
| Removal of nail tissue | 68 |
| Removal or shaving of skin growth | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin J Powers | Podiatrist | Current | Accepting new patients |
| Kevin Powers DPM | Podiatrist | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Kevin Powers DPM | Podiatrist | Past | Accepting new patients |
Locations
2900 16th St
Bedford, IN 47421
Phone (812) 275-1200
1791 W 3rd St
Bloomington, IN 47404
Phone (812) 333-4422
1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250
Interoperability endpoints
- kpowers@yourcarecommunity.org
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- Podiatrist
- Bloomington, IN
- NPI 1609947571
-
- Podiatrist
- Washington, IN
- NPI 1326165788
-
- Podiatrist
- Bloomington, IN
- NPI 1972620334
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1902804685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1981",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474021981",
"telephone_number": "812-333-4422",
"fax_number": "812-333-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1791 W 3RD ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474045029",
"telephone_number": "812-333-4422",
"fax_number": "812-333-6698"
}
],
"practiceLocations": [
{
"address_1": "2900 16th St",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "IN",
"postal_code": "474213510",
"country_code": "US",
"telephone_number": "812-277-1000",
"fax_number": "812-277-9490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWERS",
"first_name": "KEVIN",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IN",
"license": "07000616",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07000615A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100194880A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.