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KEVIN COURTNEY SORENSEN DPM NPI 1710986047


NPI Information

NPI: 1710986047
Provider Name: KEVIN COURTNEY SORENSEN, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
44000 W 12 MILE RD
SUITE111
NOVI, MI
ZIP 48377
Phone: (248) 347-8233
Get Directions

Kevin Courtney Sorensen, DPM is a foot and ankle surgery podiatrist in Novi, MI with 22 years of experience. Kevin Courtney Sorensen, DPM NPI is 1710986047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2002

The provider's business location address is:

44000 W 12 MILE RD
SUITE111
NOVI, MI
ZIP 48377-644
Phone: (248) 347-8233
Fax: (248) 347-8174

The NPI 1710986047 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

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)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Removal of single thickened skin growth (HCPCS:11055)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)

The enumeration date for this NPI number is 7/19/2005 and was last updated on 2/28/2017.


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
1213E00000XPodiatrist36.003379OHIONo
2213ES0103XPodiatristFoot & Ankle Surgery5901002082MICHIGANYes

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
104618OTHEROHIOPARAMOUNT
2P00213362MEDICARE PINOHIO
30537250004MEDICARE NSCOHIO
40537250002MEDICARE NSCOHIO
5SO4139952MEDICARE PINOHIO
6000000340879OTHERANTHEM
7P00614561MEDICARE PINOHIO
8SO4139953MEDICARE PINOHIO
9V00973MEDICARE UPIN
100537250003MEDICARE NSCOHIO
112490193MEDICAIDOHIO
12SO4139951MEDICARE PINOHIO

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.