Active NPI
Jonathan P Contompasis, DPM
- Podiatrist
- Kennett Square, PA
National Provider Identifier
1114957651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC001514L
- Practice address
- 685 Unionville Rd
Suite 2
Kennett Square, PA 19348 - Phone
- (610) 444-6520
- Fax
- (610) 444-2232
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC001514L | PA | Primary |
| Podiatrist | 213E00000X | E10000065 | DE |
Addresses
Primary practice location
685 Unionville Rd
Suite 2
Kennett Square, PA 19348
Mailing address
685 Unionville Rd
Suite 2
Kennett Square, PA 19348
Phone (610) 444-6520
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000176917 | Medicaid | DE | |
| 10163455 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E10000065 | DE | MD | Podiatrist |
| SC001514L | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot Care Group, P.a. | Podiatrist | Past | Accepting new patients |
| Foot Care Group, P.a. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Wilmington, DE
- NPI 1215922349
-
- Non-Pharmacy Dispensing Site
- Wilmington, DE
- NPI 1588524441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1114957651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 UNIONVILLE RD",
"address_2": "SUITE 2",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "19348",
"telephone_number": "610-444-6520",
"fax_number": "610-444-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 UNIONVILLE RD",
"address_2": "SUITE 2",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "19348",
"telephone_number": "610-444-6520",
"fax_number": "610-444-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTOMPASIS",
"first_name": "JONATHAN",
"middle_name": "P",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC001514L",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "DE",
"license": "E10000065",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000176917",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10163455",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kennett Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.