Kevin Jeffrey Mahoney, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

943 Issued in MN

Practice address

300 S Bruce St
Marshall, MN 56258-1934

Phone

(507) 537-9007

Fax

(507) 537-2734

NPI assigned

May 29, 2013

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

Medicare fee-for-service enrollment

Enrolled in MN

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera MarshallGroup PAC ID 5799695227, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359
• Avera Granite Falls Hospital, Granite Falls, MN, CCN 241343

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.mahoney@avera.sdhealthlink.net

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.

• Avera Marshall

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016

  MN

  Medicare reassignment Care Compare group NPD
• Avera Granite Falls

  • Critical Access Hospital
  • Granite Falls, MN
  • NPI 1700429610

  MN

  Medicare reassignment NPD
• Avera Granite Falls

  • Family Medicine Physician
  • Granite Falls, MN
  • NPI 1700429644

  MN

  Medicare reassignment NPD
• Avera Tyler

  • Critical Access Hospital
  • Tyler, MN
  • NPI 1801840517

  MN

  Medicare reassignment NPD
• County of Murray

  • Clinic/Center
  • Slayton, MN
  • NPI 1679565287

  MN

  Medicare reassignment NPD
• Avera Marshall

  • Optometrist
  • Marshall, MN
  • NPI 1487422465
  NPD
• Avera Marshall

  • Community Health Clinic/Center
  • Marshall, MN
  • NPI 1912265059
  NPD
• Avera Tyler

  • Rural Health Clinic/Center
  • Lake Benton, MN
  • NPI 1003869892
  NPD
• Avera Tyler

  • Rural Health Clinic/Center
  • Ivanhoe, MN
  • NPI 1063949089
  NPD
• County of Murray

  • Critical Access Hospital
  • Slayton, MN
  • NPI 1053497214
  NPD
• Avera Marshall

  • Multi-Specialty Clinic/Center
  • Marshall, MN
  • NPI 1962641936
  NPD (past)
• Granite Falls Municipal Hospital and Manor

  • Critical Access Hospital
  • Granite Falls, MN
  • NPI 1780654962
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avera Granite Falls

  • Critical Access Hospital
  • Granite Falls, MN
  • NPI 1700429610

  Hospital

  Care Compare affiliation
• Avera Marshall

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1912344151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BRUCE ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581934",
            "telephone_number": "507-537-9007",
            "fax_number": "507-537-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BRUCE ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581934",
            "telephone_number": "507-537-9007",
            "fax_number": "507-537-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "KEVIN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Luft, PT
• Christina Jean Lustfield, LADC
• Lori Anne Lynner, MD
• Jonna Ann Maas, M.D.
• Mahlon Michael Mace, LADC
• Craig R Maki, PAC
• Amber Malikowski, CNP
• Marshall Area Young Men'S Christian Association
• Marshall Dental Excellence PLLC
• Marshall Isd 413

• Foot & Ankle Surgery Podiatrist in Marshall, MN
• Providers in Marshall, MN by specialty
• Foot & Ankle Surgery Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.