Active NPI
Kevin M Lynch, DPM
- Podiatrist
- Merritt Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO2478
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390231500 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PA
Practice addresses (Care Compare)
260 Fortenberry Rd
Merritt Island, FL 32952-3619
Phone (321) 454-6333
Hospital & facility affiliations
- Parrish Medical Center
- Cape Canaveral Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1026 |
| Removal of skin lesions | 768 |
| Removal of nail tissue | 623 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin M Lynch DPM PA | Podiatrist | Current | 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
- 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.
-
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.