Richard Mistretta, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

00742 Issued in GA

Practice address

3071 Peachtree Industrial Blvd
Suite # 110
Duluth, GA 30097-7917

Phone

(770) 232-9778

Fax

(770) 232-9776

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Affiliated Foot and Ankle, PC

  • Foot & Ankle Surgery Podiatrist
  • Duluth, GA
  • NPI 1669452611

  O20100930072700

  Same enrollment

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252

Merit-based Incentive Payment System (MIPS)

Final score

80.55 of 100Reported as group

Quality

61.09

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Affiliated Foot and Ankle, PC

  • Foot & Ankle Surgery Podiatrist
  • Duluth, GA
  • NPI 1669452611

  Primary Podiatric Medicine

  Medicare reassignment NPD Authorized official
• Affiliated Foot and Ankle, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Atlanta, GA
  • NPI 1427229475
  NPD
• William C Stoll LLC

  • Podiatrist
  • Atlanta, GA
  • NPI 1932307923
  NPD (past)

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

• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Duluth, GA
  • NPI 1790715381
  Care Compare affiliation

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1104806157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE # 110",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300977917",
            "telephone_number": "770-232-9778",
            "fax_number": "770-232-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE # 110",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300977917",
            "telephone_number": "770-232-9778",
            "fax_number": "770-232-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRETTA",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "00742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie H Miller, LCSW
• Brandon P Miller
• Susan Renee Miller, P.T.
• Sharon Marie Mills, NP
• Miryam Loving Care LLC
• Fonda A Mitchell, MD MBA
• Kaylee Brooke Mitchell
• Paul Mitchell, PT, DPT
• Tyshawn Mitchell
• Paul Mitrofan, DMD

• Foot & Ankle Surgery Podiatrist in Duluth, GA
• Providers in Duluth, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.

Verify at the official NPI Registry.