Dan Earl Robinson, D.P.M.
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Blackfoot, ID
NPI 1013139898 · NPPES record last updated Feb 27, 2013
Key facts
- NPI
- 1013139898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- P-204 (ID)
- Practice address
- 98 Poplar St
Blackfoot, ID 83221-1758 - Phone
- (208) 690-0394
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BMH Inc
Bingham Memorial Hospital
Practice addresses (Care Compare)
315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Hospital & facility affiliations
- Bingham Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100806000614 | ID | Practitioner - Podiatry | 2769555788 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 664 | CO | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMH Inc | Current |
Accepting new patients | |
| BMH, Inc. | Current |
Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| BMH Inc | Current |
Accepting new patients | |
| BMH Inc. | Past | Accepting new patients |
Locations
315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990
98 Poplar St
Fl 1
Blackfoot, ID 83221
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
3302 Valencia Dr
Ste 201
Idaho Falls, ID 83404
Phone (208) 524-9400
4750 Yellowstone Ave
Ste B
Pocatello, ID 83202
Phone (208) 232-8792
1151 Hospital Way
Bldg D
Pocatello, ID 83201
Phone (208) 237-2446
1151 Hospital Way
#D100
Pocatello, ID 83201
Phone (208) 239-8010
1151 Hospital Way
Ste D100
Pocatello, ID 83201
4750 Yellowstone Ave
Ste A
Pocatello, ID 83202
Phone (208) 233-1720
Interoperability endpoints
- danrobinson@bmh.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | P-204 | ID | Yes |
Addresses
Primary practice location
98 Poplar St
Blackfoot, ID 83221-1758
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 690-3094
Other providers in Blackfoot, ID
- Sharon Lee Rivas
- River Valley Chiropractic PLLC
- Riverside Dental PC
- Riverside Wellness, LLC
- Robinson and Affiliates, Inc.
- Shane Robinson
- Rocky Mountain Physical Therapy PLLC
- Root & Renew Pro-Health Solutions
- Richard Saul Santillan
- Cory James Sayre
All providers in Blackfoot, ID · Foot & Ankle Surgery Podiatrist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.