David A. Andreone, DPM
Individual provider Active NPI Podiatrist · Tyler, TX
NPI 1083786982 · NPPES record last updated Oct 26, 2016
Key facts
- NPI
- 1083786982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 1481 (TX)
- Practice address
- 11937 US Highway 271
Tyler, TX 75708-3154 - Phone
- (903) 877-7826
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Etmc Physician Group, Inc.
University of Texas Health Science Center at Tyler-Facilty-Physician
Practice addresses (Care Compare)
1000 E 5TH St
Suite 400
Tyler, TX 75701-3362
Phone (903) 596-3500
1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 590-5611
11937 US Hwy 271
Tyler, TX 75708-3154
Phone (903) 877-7200
18118 FM 344
Flint, TX 75762-6010
Phone (903) 825-3292
203 Nacogdoches St
Jacksonville, TX 75766-2453
Hospital & facility affiliations
- University of Texas Health Science Center at Tyler
- Ut Health East Texas Tyler Regional Hospital
- Ut Health East Texas Jacksonville Hospital
- Ut Health East Texas Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 82 |
| Removal or shaving of skin growth | 17 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100518000145 | TX | Practitioner - Podiatry | 3577504653 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etmc Physician Group Inc. | Current |
Accepting new patients | |
| Etmc Physician Group Inc. | Current |
Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facility-Physician | Current |
Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facilty-Physician | Current |
Accepting new patients | |
| Friedman & Greenhut DPM PA | Podiatrist | Past | Accepting new patients |
| Friedman & Greenhut, DPM, PA | Past | Accepting new patients |
Locations
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201
11937 US Highway 271
Tyler, TX 75708
Phone (903) 877-3451
1000 E 5th St
Ste 400
Tyler, TX 75701
Phone (903) 593-1749
921 Shiloh Rd
Ste C110
Tyler, TX 75703
Phone (903) 561-4350
Interoperability endpoints
- dandreone354936@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1481 | TX | Yes |
Addresses
Primary practice location
11937 US Highway 271
Tyler, TX 75708-3154
Mailing address
PO Box 731912
Dallas, TX 75373-1912
Phone (903) 877-7826
NPI Registry JSON
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1083786982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 731912",
"city": "DALLAS",
"state": "TX",
"postal_code": "753731912",
"telephone_number": "903-877-7826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11937 US HIGHWAY 271",
"city": "TYLER",
"state": "TX",
"postal_code": "757083154",
"telephone_number": "903-877-7826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREONE",
"first_name": "DAVID",
"middle_name": "A.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "1481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.