Individual provider Active NPI

Samuel Robert Galitzer, D.P.M.

  • Podiatrist
  • Potomac, MD
National Provider Identifier
1043273451
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01349 Issued in MD
Practice address
8 Charen CT
Potomac, MD 20854-3442
Phone
(301) 586-8818
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO1000038 DC
Podiatrist 213E00000X PO 2100 FL
Podiatrist 213E00000X 01349 MD Primary

Addresses

Primary practice location

8 Charen CT
Potomac, MD 20854-3442

Mailing address

8 Charen CT
Potomac, MD 20854-3442
Phone (301) 219-2326

Other identifiers 3

IdentifierTypeStateIssuer
012306400MedicaidMD
037025300MedicaidDC
5246030001OtherMEDICARE DME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040401000893 DC Practitioner - Podiatry 8729989660 Reassigns benefits to 1 organization
I20110915000159 MD Practitioner - Podiatry 8729989660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2434 W Belvedere Ave
Baltimore, MD 21215-5267
Phone 30158688183

8 Charen CT
Potomac, MD 20854-3442
Phone (301) 219-2326

Merit-based Incentive Payment System (MIPS)

Final score
76.67 of 100Reported as individual
Quality
33.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue8785
Removal or shaving of skin growth1146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PO1000038DCMDPodiatrist
PO 2100FLMDPodiatrist
01349MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel R Galitzer DPM PA Podiatrist CurrentSince Jan 1, 1990 Accepting new patients
Richard H Mann DPM PA Past Accepting new patients

Locations

201 Zeagler Dr
Palatka, FL 32177
Phone (301) 219-2326

2434 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-2246

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1043273451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CHAREN CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543442",
            "telephone_number": "301-219-2326",
            "fax_number": "240-715-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CHAREN CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543442",
            "telephone_number": "301-586-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALITZER",
        "first_name": "SAMUEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DC",
            "license": "PO1000038",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 2100",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012306400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037025300",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "5246030001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

Verify at the official NPI Registry.