ROBERT KELEMEN NPI 1801869342

Podiatrist (Foot & Ankle Surgery) in Waltham, MA

NPI 1801869342 Individual Male Years of Experience 33 Podiatrist Foot & Ankle Surgery PECOS Enrolled Accepts Medicare Approved Payment

About ROBERT KELEMEN

Robert Kelemen is a provider established in Waltham, Massachusetts and his medical specialization is podiatrist (foot & ankle surgery) with more than 33 years of experience. He graduated from Barry University School Of Podiatric Medicine in 1989. The NPI number of Robert Kelemen is 1801869342 and was assigned on February 2006. The practitioner's primary taxonomy code is 213ES0103X with license number 2001 (MA). The provider is registered as an individual and his NPI record was last updated one year ago.

Robert Kelemen is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA)

Robert Kelemen is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Milford Regional Medical Center and Newton-wellesley Hospital.

NPI

1801869342

Provider Name ROBERT KELEMEN
Provider Location Address20 HOPE AVE STE 102 WALTHAM, MA 02453
Provider Mailing Address247 WEST PRINCETON ROAD WESTMINSTER, MA 01473
GenderMale
NPI Entity TypeIndividual
Medical School NameBARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year1989
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date02-07-2006
Last Update Date09-28-2020


Primary Taxonomy

Taxonomy Code213ES0103X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
SpecializationFoot & Ankle Surgery
License No.2001
License StateMA

Business Address

ROBERT KELEMEN
20 HOPE AVE STE 102
WALTHAM, MA
ZIP 02453
Phone: (781) 899-9622
Fax: (508) 473-5295

Get Directions


Mailing Address

ROBERT KELEMEN
247 WEST PRINCETON ROAD
WESTMINSTER, MA
ZIP 01473
Phone: (781) 899-9622
Fax: (781) 899-3488



Secondary Locations

26 Asylum St
Milford, MA 01757
(781) 899-9622

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9335157221
PECOS Enrollment IDI20060404000515
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 174Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • 167Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • 164Removal of single thickened skin growth (HCPCS:11055)
  • 31Removal of tissue from wounds per session (HCPCS:97597)
  • 15Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • 13Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Robert Kelemen is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MILFORD REGIONAL MEDICAL CENTER14 PROSPECT STREET
MILFORD, MA 1757
(508) 473-1190Acute Care Hospitals220090
NEWTON-WELLESLEY HOSPITAL2014 WASHINGTON STREET
NEWTON, MA 2462
(617) 243-6000Acute Care Hospitals220101

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.