Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kristopher Koelewyn, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1831661578

Dr. Kristopher Koelewyn, DPM is a Podiatry in San Francisco, California. Qualified in 2017, 9 years ago. Practices with Robert Marriott Medical Corp, a 64-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
9
Licensed in
CA, NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone: (415) 476-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E5785 (CA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence R10615 (NY)

Record details

NPI number1831661578
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedDecember 19, 2018
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Robert Marriott Medical Corp — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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