Diana Sophia Tsombaris, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00299300 Issued in NJ

Practice address

119 Berkley Rd Ste a
Clarksboro, NJ 08020-1161

Phone

(856) 599-0133

Fax

(833) 234-1751

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Diana Tsombaris Clarke Former name

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Podiatry

Education

Temple University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Foot and Ankle Care Center LLCGroup PAC ID 4981030830, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
• West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

Merit-based Incentive Payment System (MIPS)

Final score

71.67 of 100Reported as individual

Quality

43.33

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/6a316867-5684-4988-b95c-94ce28d46d1f/

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.

• Family Foot & Ankle Care Center LLC

  • Podiatrist
  • Clarksboro, NJ
  • NPI 1598314601
  Medicare reassignment Care Compare group NPD Authorized official
• Paul S. Demarco, DPM, LLC

  • Foot & Ankle Surgery Podiatrist
  • Somers Point, NJ
  • NPI 1336200799
  Medicare reassignment NPD
• Don S. Cooper DC PC

  • Chiropractor
  • Vineland, NJ
  • NPI 1467587493
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Keystone Podiatric Medical Associates PC

  • Foot & Ankle Surgery Podiatrist
  • Harrisburg, PA
  • NPI 1376608430
  NPD (past)

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

• Kennedy University Hospital Inc.

  • General Acute Care Hospital
  • Stratford, NJ
  • NPI 1386746592
  Care Compare affiliation
• Virtua - West Jersey Health System, Inc.

  • General Acute Care Hospital
  • Voorhees, NJ
  • NPI 1528064409
  Care Compare affiliation

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1104955012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BERKLEY RD STE A",
            "city": "CLARKSBORO",
            "state": "NJ",
            "postal_code": "080201161",
            "telephone_number": "856-599-0133",
            "fax_number": "833-234-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 BERKLEY RD STE A",
            "city": "CLARKSBORO",
            "state": "NJ",
            "postal_code": "080201161",
            "telephone_number": "856-599-0133",
            "fax_number": "833-234-1751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "297 Westwood Dr",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "West Deptford",
            "state": "NJ",
            "postal_code": "080963144",
            "country_code": "US",
            "telephone_number": "856-848-6262",
            "fax_number": "856-848-6649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSOMBARIS",
        "first_name": "DIANA",
        "middle_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00299300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "CLARKE",
            "middle_name": "TSOMBARIS",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crystal Valerie Pizarro, LPC, NCC
• Robert A Provencher, DO
• Kaye Rubin
• Ruhe Wellness LLC
• Emily Rose Salema, PSY.D.

• Foot & Ankle Surgery Podiatrist in Clarksboro, NJ
• Providers in Clarksboro, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.