NPIMap

Organization Active NPI

Crossroads Podiatric Surgery Center, L.L.C.

  • Ambulatory Surgical Clinic/Center
  • Owings Mills, MD
National Provider Identifier
1003912957
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CROSSROADS PODIATRIC SURGERY CENTER, L.L.C.
Practice address
20 Crossroads Dr
Suite 15
Owings Mills, MD 21117-5419
Phone
(410) 363-4343
Fax
(410) 356-6373
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mikel D Daniels, D.P.M.NPI 1730185091
Title
Director
Phone
(410) 363-4343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

20 Crossroads Dr
Suite 15
Owings Mills, MD 21117-5419

Mailing address

20 Crossroads Dr
Suite 15
Owings Mills, MD 21117-5419
Phone (410) 363-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071022000207 MD Part B Supplier - Ambulatory Surgical Center 6305932419 Receives reassigned benefits from 5 practitioners
Practice locations: Owings Mills, MD

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Crossroads Podiatric Surgery Center LLCCCN 21C0001450
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

20 Crossroads Dr
Ste 14
Owings Mills, MD 21117

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1003912957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR",
            "address_2": "SUITE 15",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175419",
            "telephone_number": "410-363-4343",
            "fax_number": "410-356-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR",
            "address_2": "SUITE 15",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175419",
            "telephone_number": "410-363-4343",
            "fax_number": "410-356-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS PODIATRIC SURGERY CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "MIKEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-363-4343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.