Active NPI
Scott N Keith, DPM
- Foot Surgery Podiatrist
- Crown Point, IN
National Provider Identifier
1972606184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 07000389
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
50 W 94TH PL
Crown Point, IN 46307-1710
Phone (219) 663-2273
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friendly Foot Care, PC | Foot Surgery | Current | 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
- https://fhir4.healow.com/fhir/r4/JEBIBA
- 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.
-
- Orthopaedic Surgery Physician
- Merrillville, IN
- NPI 1386757672
-
- Family Medicine Physician
- Demotte, IN
- NPI 1487986451
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.