Individual provider Active NPI

Kevin J Powers, DPM

  • Podiatrist
  • Bloomington, IN
National Provider Identifier
1902804685
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000615A Issued in IN
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

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100194880AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050705000950 IN Practitioner - PodiatryPractitioner - Other (Physician) 5193766103 Reassigns benefits to 1 organization
Practice locations: Bedford, IN
O20100930003372 IN DME Supplier - Physician - Podiatry 6204877210 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bloomington, IN

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
Kevin J PowersGroup PAC ID 6204877210, 2 clinicians

Practice addresses (Care Compare)

1791 W 3Rd St
Bloomington, IN 47404-5029
Phone (812) 333-4422

Hospital & facility affiliations

  • Indiana University Health Bloomington Hospital Hospital, Bloomington, IN, CCN 150051
  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of nail tissue68
Removal or shaving of skin growth22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin J Powers Podiatrist CurrentSince Sep 1, 2001 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

  • Direct secure messaging: kpowers@yourcarecommunity.org
  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.