Active NPI
James C Loomis, DPM
- Foot & Ankle Surgery Podiatrist
- Jessup, PA
National Provider Identifier
1104899103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC-003449-L
- Practice address
- 322 Church St
Jessup, PA 18434-1024 - Phone
- (570) 383-4958
- Fax
- (570) 383-3018
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | SC-003449-L | PA | Primary |
Addresses
Primary practice location
322 Church St
Jessup, PA 18434-1024
Mailing address
322 Church St
Jessup, PA 18434-1024
Phone (570) 383-4958
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012410720003 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080828000450 | PA | Practitioner - Podiatry | 5496821381 | Practice locations: Jessup, PA; Mount Pocono, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
322 Church St
Jessup, PA 18434-1024
Phone (570) 383-4958
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 23 |
| Removal of nail tissue | 250 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC-003449-L | PA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264377600000",
"number": "1104899103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 CHURCH ST",
"city": "JESSUP",
"state": "PA",
"postal_code": "184341024",
"telephone_number": "570-383-4958",
"fax_number": "570-383-3018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 CHURCH ST",
"city": "JESSUP",
"state": "PA",
"postal_code": "184341024",
"telephone_number": "570-383-4958",
"fax_number": "570-383-3018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOMIS",
"first_name": "JAMES",
"middle_name": "C",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2010-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC-003449-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012410720003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jessup, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.