Individual provider Active NPI

Thomas Louis Velotti, DPM

  • Podiatrist
  • Elkton, MD
National Provider Identifier
1083703847
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00896 Issued in MD
Practice address
304 306 North Street
Suite 2 North Street Professional Plaza
Elkton, MD 21921
Phone
(410) 398-6009
Fax
(410) 398-6088
NPI assigned
Oct 12, 2006
Last updated
May 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC002792L PA
Podiatrist 213E00000X 00896 MD Primary
Podiatrist 213E00000X EI0000174 DE

Addresses

Primary practice location

304 306 North Street
Suite 2 North Street Professional Plaza
Elkton, MD 21921

Mailing address

304 306 North Street
Suite 2 North Street Professional Plaza
Elkton, MD 21921
Phone (410) 398-6009

Other identifiers 2

IdentifierTypeStateIssuer
438498900MedicaidMD
7093736MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, 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
I20050518000345 PA Practitioner - Podiatry 1951342120 Practice locations: Reading, PA
I20050614000100 MD Practitioner - Podiatry 1951342120 Practice locations: Elkton, MD; Rising Sun, MD; Chestertown, MD; Cecilton, MD

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2234 Perkiomen Ave
Reading, PA 19606-1830
Phone (610) 370-9305

304 -306 N St
Suite 2
Elkton, MD 21921
Phone (410) 398-6009

304 -306 N St
Suite 2
Elkton, MD 21921-5570

304 N St
Suite 2
Elkton, MD 21921

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue92
Removal of nail tissue841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EI0000174DEMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brandywine Womens Health Associates Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1083703847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 306 NORTH STREET",
            "address_2": "SUITE 2 NORTH STREET PROFESSIONAL PLAZA",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "21921",
            "telephone_number": "410-398-6009",
            "fax_number": "410-398-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 306 NORTH STREET",
            "address_2": "SUITE 2 NORTH STREET PROFESSIONAL PLAZA",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "21921",
            "telephone_number": "410-398-6009",
            "fax_number": "410-398-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELOTTI",
        "first_name": "THOMAS",
        "middle_name": "LOUIS",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002792L",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "00896",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "EI0000174",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "438498900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7093736",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.