Individual provider Active NPI

Kevin M Lynch, DPM

  • Podiatrist
  • Merritt Island, FL
National Provider Identifier
1992735229
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2478 Issued in FL
Practice address
260 Fortenberry Rd
Merritt Island, FL 32952-3619
Phone
(321) 454-6333
Fax
(321) 454-9877
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2478 FL Primary

Addresses

Primary practice location

260 Fortenberry Rd
Merritt Island, FL 32952-3619

Mailing address

260 Fortenberry Rd
Merritt Island, FL 32952-3619
Phone (321) 454-6333

Other identifiers 1

IdentifierTypeStateIssuer
390231500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090223000164 FL Practitioner - Podiatry 8729091236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin M Lynch DPM PAGroup PAC ID 9537224779, 3 clinicians

Practice addresses (Care Compare)

260 Fortenberry Rd
Merritt Island, FL 32952-3619
Phone (321) 454-6333

Hospital & facility affiliations

  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1026
Removal of skin lesions768
Removal of nail tissue623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin M Lynch DPM PA Podiatrist CurrentSince Dec 20, 1996 Accepting new patients

Locations

260 Fortenberry Rd
Merritt Island, FL 32952
Phone (321) 454-6333

1655 Jess Parrish Ct
Titusville, FL 32796
Phone (321) 269-4911

Interoperability endpoints

  • Direct secure messaging: klynch71666@epicdirect.hf.org

Organizations & group practices 1

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 2

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1992735229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 FORTENBERRY RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523619",
            "telephone_number": "321-454-6333",
            "fax_number": "321-454-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 FORTENBERRY RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523619",
            "telephone_number": "321-454-6333",
            "fax_number": "321-454-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390231500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.