Active NPI
Kenneth Eugene Coombs, DPM
- Podiatrist
- Smithtown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- NOO 37201-1
- Practice address
- 154 Terry Rd
Smithtown, NY 11787-5103 - Phone
- (631) 724-8285
- Fax
- (631) 724-1598
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NOO 37201-1 | NY | Primary |
| Podiatrist | 213E00000X | 518-025 | WI |
Addresses
Primary practice location
154 Terry Rd
Smithtown, NY 11787-5103
Mailing address
154 Terry Rd
Smithtown, NY 11787-5103
Phone (631) 724-8285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011725369 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
276 Smithtown Blvd
Nesconset, NY 11767-2084
Phone (631) 724-8285
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.94 of 100
- Quality
- 77.87
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 82 |
| Removal of skin lesions | 25 |
| Removal of nail tissue | 501 |
| Removal or shaving of skin growth | 402 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NOO 37201-1 | NY | MD | Podiatrist |
| 518-025 | WI | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Northeast, LLC | Current | Accepting new patients | |
| Harvey a Freedman DPM PC | Podiatrist | Current | Accepting new patients |
| Hospitalist Healthcare Services PLLC | Current | Accepting new patients | |
| Harvey a Freedman DPM PC | Podiatrist | Current | Accepting new patients |
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Hospitalist Healthcare Services PLLC | Current | Accepting new patients | |
| New York General Medical Services PC | Current | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700
6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010
4241 201st St
Flushing, NY 11361
Phone (516) 599-5688
2090 Albany Post Rd
Montrose, NY 10548
Phone (914) 788-6003
276 Smithtown Blvd
Ste 1
Nesconset, NY 11767
Phone (631) 724-8285
276 Smithtown Blvd
Nesconset, NY 11767
Phone (631) 467-7600
17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300
1 Elsie St
Rome, NY 13440
Phone (315) 336-4435
101 Elm St
Sayville, NY 11782
Phone (631) 244-2400
154 Terry Rd
Smithtown, NY 11787
Phone (631) 724-4220
100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813
3 Barker Ave
Fl 4
White Plains, NY 10601
Phone (914) 949-7900
Interoperability endpoints
- kcoombs@hafdp-ny.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 7
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.
-
- Podiatrist
- Smithtown, NY
- NPI 1093984577
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1275962011
-
- Hospitalist Physician
- New York, NY
- NPI 1700315538
-
- Podiatrist
- Nesconset, NY
- NPI 1003086661
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1538598610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1992706287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 TERRY RD",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117875103",
"telephone_number": "631-724-8285",
"fax_number": "631-724-1598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 TERRY RD",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117875103",
"telephone_number": "631-724-8285",
"fax_number": "631-724-1598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOMBS",
"first_name": "KENNETH",
"middle_name": "EUGENE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "NOO 37201-1",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WI",
"license": "518-025",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011725369",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.