Active NPI
Emmanuella Maria Eastman, DPM
- Foot & Ankle Surgery Podiatrist
- Rockville, MD
National Provider Identifier
1053769596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 01666
- Practice address
- 15215 Shady Grove Rd Ste 307
Rockville, MD 20850-0202 - Phone
- (240) 268-7450
- NPI assigned
- May 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 01666 | MD | Primary |
Addresses
Primary practice location
15215 Shady Grove Rd Ste 307
Rockville, MD 20850-0202
Mailing address
PO Box 825159
Philadelphia, PA 19182-5159
Phone (314) 909-1920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10605 Concord St
Suite 300
Kensington, MD 20895-2532
Phone (301) 949-2000
10901 Conn Ave
Suite 200
Kensington, MD 20895-1645
Phone (301) 949-2000
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.95 of 100
- Promoting interoperability
- 87
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 14 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 652 |
| Removal or shaving of skin growth | 174 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- eeastman@usfas.emadirect.md
Organizations & group practices 1
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": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1053769596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 825159",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191825159",
"telephone_number": "314-909-1920",
"fax_number": "855-495-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15215 SHADY GROVE RD STE 307",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208500202",
"telephone_number": "240-268-7450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTMAN",
"first_name": "EMMANUELLA",
"middle_name": "MARIA",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-25",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MD",
"license": "01666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.