NPIMap

Individual provider Active NPI

Louis William Nordeen, DPM

  • Podiatrist
  • Mechanicsville, VA
National Provider Identifier
1073564043
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103300807 Issued in VA
Practice address
7481 Right Flank Road
Suite 110
Mechanicsville, VA 23116-3838
Phone
(804) 746-9797
Fax
(804) 746-9794
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103300807 VA Primary

Addresses

Primary practice location

7481 Right Flank Road
Suite 110
Mechanicsville, VA 23116-3838

Mailing address

7481 Right Flank Road
Suite 110
Mechanicsville, VA 23116-3838
Phone (804) 746-9797

Other identifiers 1

IdentifierTypeStateIssuer
0010113580MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040219000387 VA Practitioner - Podiatry 6608761424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7481 Right Flank Rd
Suite 110
Mechanicsville, VA 23116-3838
Phone (804) 746-9797

Hospital & facility affiliations

  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of skin lesions1-10
Removal of nail tissue1035
Removal or shaving of skin growth329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103300807VAMDPodiatrist

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1073564043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7481 RIGHT FLANK ROAD",
            "address_2": "SUITE 110",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163838",
            "telephone_number": "804-746-9797",
            "fax_number": "804-746-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7481 RIGHT FLANK ROAD",
            "address_2": "SUITE 110",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163838",
            "telephone_number": "804-746-9797",
            "fax_number": "804-746-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDEEN",
        "first_name": "LOUIS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103300807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010113580",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.