Individual provider Active NPI

Scott N Keith, DPM

  • Foot Surgery Podiatrist
  • Crown Point, IN
National Provider Identifier
1972606184
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
07000389 Issued in IN
Practice address
12800 Mississippi Pkwy
Pavillion C, Suite 101
Crown Point, IN 46307-6900
Phone
(219) 769-2141
Fax
(219) 769-2675
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 07000389 IN Primary

Addresses

Primary practice location

12800 Mississippi Pkwy
Pavillion C, Suite 101
Crown Point, IN 46307-6900

Mailing address

37 Kenwood St
Hammond, IN 46324-1057
Phone (219) 306-7121

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080108000426 IN Practitioner - Podiatry 1052408275 Reassigns benefits to 1 organization
Practice locations: Crown Point, IN

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friendly Foot Care PC 2 clinicians

Practice addresses (Care Compare)

50 W 94TH PL
Crown Point, IN 46307-1710
Phone (219) 663-2273

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Friendly Foot Care, PC Foot Surgery CurrentSince Oct 1, 2017 Accepting new patients
Indy Orthopedics Past Accepting new patients
Leestma Medical Clinic, Inc Past Accepting new patients

Locations

50 W 94th Pl
Crown Point, IN 46307
Phone (219) 663-2273

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEBIBA
  • FHIR API: https://api.platform.athenahealth.com/21537/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1972606184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 KENWOOD ST",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463241057",
            "telephone_number": "219-306-7121",
            "fax_number": "219-937-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 MISSISSIPPI PKWY",
            "address_2": "PAVILLION C, SUITE 101",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463076900",
            "telephone_number": "219-769-2141",
            "fax_number": "219-769-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "SCOTT",
        "middle_name": "N",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IN",
            "license": "07000389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.