NPIMap

Individual provider Active NPI

Kathleen M Oconnell, DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Pittsburgh, PA
National Provider Identifier
1972582476
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC005681 Issued in PA
Practice address
640 Rodi Rd
Pittsburgh, PA 15235-4512
Phone
(412) 731-5500
Fax
(412) 731-5548
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC005681 PA
Foot & Ankle Surgery Podiatrist 213ES0103X SC005681 PA Primary
Foot Surgery Podiatrist 213ES0131X SC005681 PA

Addresses

Primary practice location

640 Rodi Rd
Pittsburgh, PA 15235-4512

Mailing address

495 Waterfront Dr E
Suite 230
Homestead, PA 15120-1140
Phone (412) 461-1108

Other identifiers 2

IdentifierTypeStateIssuer
1015190430001MedicaidPA
1033459425OtherPANPI GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060412000395 PA Practitioner - Podiatry 8527077023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

495 E Waterfront Dr
Suite 230
Homestead, PA 15120-1151
Phone (412) 461-1108

Hospital & facility affiliations

  • Upmc East Hospital, Monroeville, PA, CCN 390328
  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164
  • Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
  • Upmc St Margaret Hospital, Pittsburgh, PA, CCN 390102
  • St Clair Hospital Hospital, Pittsburgh, PA, CCN 390228

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of skin lesions19
Removal of nail tissue1829
Removal or shaving of skin growth322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC005681PAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen M Oconnell DPM PC Foot & Ankle Surgery CurrentSince Jun 15, 2013 Accepting new patients
Family Foot and Ankle Clinic LLC Podiatrist Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Gateway Foot & Ankle, PC Podiatrist PastSince Jul 20, 1990 Accepting new patients

Locations

495 E Waterfront Dr
Ste 230
Homestead, PA 15120
Phone (412) 325-0397

640 Rodi Rd
Pittsburgh, PA 15235
Phone (412) 731-5500

733 Washington Rd
Pittsburgh, PA 15228
Phone (412) 531-3883

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1972582476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 WATERFRONT DR E",
            "address_2": "SUITE 230",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151201140",
            "telephone_number": "412-461-1108",
            "fax_number": "412-461-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 RODI RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152354512",
            "telephone_number": "412-731-5500",
            "fax_number": "412-731-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNELL",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "DPM PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC005681",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005681",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC005681",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015190430001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP NUMBER",
            "identifier": "1033459425",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.