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DR ELISA KAVANAGH DPM PC
NPI 1114550514
Podiatrist - Foot & Ankle Surgery in Harrison, NY

Active since February 14, 2020
440 MAMARONECK AVE STE 502, HARRISON, NY 10528(914) 472-1000(914) 472-1008 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 1, 2022, Feb 14, 2020 (2 updates tracked since 2020).

About Dr Elisa Kavanagh Dpm Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR ELISA KAVANAGH DPM PC (NPI 1114550514) is a healthcare organization registered as a foot & ankle surgery in Harrison, New York and active in the NPI registry since February 2020. The organization lists Elisa M Kavanagh, Owner, as its authorized official.

NPPES Registry Identity

NPI1114550514
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameDR ELISA KAVANAGH DPM PC
Location Address440 MAMARONECK AVE STE 502Harrison, NY 10528-2433
Mailing Address440 Mamaroneck Ave Ste 502Harrison, NY 10528-2433 · (914) 472-1000 · Fax (914) 472-1008
Phone(914) 472-1000
Fax(914) 472-1008
Organization SubpartNo
Authorized OfficialElisa M KavanaghOwner · (914) 472-1000
Enumeration DateFebruary 14, 2020
Last NPPES UpdateAugust 1, 20222 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
✔ NPI 1114550514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
440 MAMARONECK AVE STE 502, Harrison, NY 10528
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Elisa Kavanagh Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dr Elisa Kavanagh DPM PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Michelle Kaufman, D.P.M.
Podiatry
NPI 1740642792
440 MAMARONECK AVE STE 502
Harrison, NY 10528
(914) 472-1000
✔ PECOS✔ Accepts MedicareSame address
Elisa Kavanagh, DPM
Podiatry
NPI 1356355366
440 MAMARONECK AVE STE 502
Harrison, NY 10528
(914) 472-1000
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Elisa Kavanagh Dpm PC's NPI number?

The NPI number for Dr Elisa Kavanagh Dpm PC is 1114550514. It was assigned to this organization in the NPPES registry on February 14, 2020.

Where is Dr Elisa Kavanagh Dpm PC located?

Dr Elisa Kavanagh Dpm PC is located at 440 Mamaroneck Ave Ste 502, Harrison, NY 10528. The listed phone number is (914) 472-1000.

What is Dr Elisa Kavanagh Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Dr Elisa Kavanagh Dpm PC enrolled in Medicare?

Yes. Dr Elisa Kavanagh Dpm PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Elisa Kavanagh Dpm PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Dr Elisa Kavanagh Dpm PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr Elisa Kavanagh Dpm PC was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.