Individual provider Active NPI

David John Labadie, DPM

  • Podiatrist
  • Greenfield, WI
National Provider Identifier
1053419317
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
562-025 Issued in WI
Practice address
3717 S 56TH St
Greenfield, WI 53220-2046
Phone
(414) 327-1119
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 562-025 WI Primary

Addresses

Primary practice location

3717 S 56TH St
Greenfield, WI 53220-2046

Mailing address

3717 S 56TH St
Greenfield, WI 53220-2046
Phone (414) 327-1119

Other identifiers 1

IdentifierTypeStateIssuer
43232900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051207000285 WI Practitioner - Podiatry 4082634100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Podiatry Group PCGroup PAC ID 3375446958, 105 clinicians

Practice addresses (Care Compare)

200 S Executive Dr
Suite 101
Brookfield, WI 53005-4216
Phone (888) 964-6681

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions15
Removal of nail tissue2625
Removal or shaving of skin growth133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
562-025WIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Mar 25, 2009 Accepting new patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Mar 25, 2009 Accepting new patients
Roland a. Tolliver Podiatrist Past Accepting new patients
Dr. Steven M Waldman S.C. Podiatrist Past Accepting new patients
Horizon Home Care & Hospice, Inc. Past Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

200 S Executive Dr
Ste 101
Brookfield, WI 53005
Phone (262) 262-6707

Organizations & group practices 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1053419317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 S 56TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532202046",
            "telephone_number": "414-327-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 S 56TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532202046",
            "telephone_number": "414-327-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABADIE",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "562-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43232900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.