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EDWARD KELLY DPM NPI 1679569651


NPI Information

NPI: 1679569651
Provider Name: EDWARD KELLY, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1760 E FLORENCE BLVD
SUITE 160
CASA GRANDE, AZ
ZIP 85222
Phone: (520) 836-4868
Get Directions

Edward Kelly, DPM is a podiatrist in Casa Grande, AZ. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Edward Kelly, DPM NPI is 1679569651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1760 E FLORENCE BLVD
SUITE 160
CASA GRANDE, AZ
ZIP 85222-764
Phone: (520) 836-4868
Fax: (520) 836-0759

The NPI 1679569651 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)

The enumeration date for this NPI number is 9/23/2005 and was last updated on 12/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist0447ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1480027517OTHERARIZONARAILROAD MEDICARE
2189705000OTHERARIZONADEPARTMENT OF LABOR
34129380001MEDICARE NSCARIZONA
4ZDPM447MEDICARE PINARIZONA
5AZ0193380OTHERARIZONABLUE CROSS BLUE SHIELD
6Z118576MEDICARE PINARIZONA
7U61828MEDICARE UPINARIZONA
8357774MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.