Individual provider Active NPI

Dana E. Klush, DPM

  • Podiatrist
  • Dunmore, PA
National Provider Identifier
1962651117
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006064 Issued in PA
Practice address
414 E Drinker St
Suite 101
Dunmore, PA 18512-2469
Phone
(570) 348-1757
Fax
(570) 348-6721
NPI assigned
Sep 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006064 PA
Podiatrist 213E00000X SC006064 PA Primary
Foot Surgery Podiatrist 213ES0131X SC006064 PA

Addresses

Primary practice location

414 E Drinker St
Suite 101
Dunmore, PA 18512-2469

Mailing address

414 E Drinker St
Suite 101
Dunmore, PA 18512-2469
Phone (570) 348-1757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 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
I20110630000583 NY Practitioner - Podiatry 6103004726 Reassigns benefits to 2 organizations
I20110706000100 PA Practitioner - Podiatry 6103004726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Our Lady of Lourdes Memorial Hospital IncGroup PAC ID 1254237779, 249 clinicians

Practice addresses (Care Compare)

169 Riverside Dr
Suite 206
Binghamton, NY 13905-4246
Phone (607) 798-6701

Hospital & facility affiliations

  • Lourdes at Home Chha Home health agency, Vestal, NY, CCN 337415
  • Our Lady of Lourdes Memorial Hospital, Inc Hospital, Binghamton, NY, CCN 330011
  • Guthrie Cortland Regional Medical Center Hospital, Cortland, NY, CCN 330175

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue217
Removal of skin lesions1-10
Removal of nail tissue367
Removal or shaving of skin growth92
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006064PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Jan 1, 2015 Accepting new patients
Laporta and Associates,PC Podiatrist CurrentSince Jul 1, 2011 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. Podiatrist Current Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. CurrentSince Jan 1, 2015 Accepting new patients
Geisinger Clinic PastSince Jul 1, 2011 Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

276-280 Robinson St
Binghamton, NY 13904
Phone (607) 722-2769

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

120 Plaza Dr
Ste F
Vestal, NY 13850
Phone (301) 241-6070

414 E Drinker St
Ste 101
Dunmore, PA 18512

Interoperability endpoints

  • Direct secure messaging: dklush196891@direct-guthrie.org

Organizations & group practices 5

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": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1962651117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E DRINKER ST",
            "address_2": "SUITE 101",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122469",
            "telephone_number": "570-348-1757",
            "fax_number": "570-348-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E DRINKER ST",
            "address_2": "SUITE 101",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185122469",
            "telephone_number": "570-348-1757",
            "fax_number": "570-348-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUSH",
        "first_name": "DANA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006064",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006064",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC006064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

Verify at the official NPI Registry.