Individual provider Active NPI

Chad Eric Webster, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cordova, TN
National Provider Identifier
1144220666
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
604 Issued in TN
Practice address
8055 Club Pkwy
Cordova, TN 38016-5967
Phone
(901) 309-7700
Fax
(901) 507-3297
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 604 TN Primary

Addresses

Primary practice location

8055 Club Pkwy
Cordova, TN 38016-5967

Mailing address

8055 Club Pkwy
Cordova, TN 38016-5967
Phone (901) 309-7700

Other identifiers 1

IdentifierTypeStateIssuer
3353819MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20040102000063 TN Practitioner - Podiatry 3779482401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Foot and Ankle Specialists, PLLCGroup PAC ID 5597753046, 6 clinicians

Practice addresses (Care Compare)

8055 Club Pkwy
Cordova, TN 38016-5967
Phone (901) 309-7700

Hospital & facility affiliations

  • Beacon Home Health Home health agency, Memphis, TN, CCN 447277
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue124
Removal of skin lesions90
Removal of nail tissue902
Removal or shaving of skin growth485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Foot and Ankle Specialists, PLLC Podiatrist CurrentSince Jul 1, 2003 Accepting new patients
Podiatry Centers of Memphis PC Foot & Ankle Surgery Past Accepting new patients

Locations

76 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 309-7700

8055 Club Pkwy
Cordova, TN 38016
Phone (901) 309-7700

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1144220666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 CLUB PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165967",
            "telephone_number": "901-309-7700",
            "fax_number": "901-507-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 CLUB PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165967",
            "telephone_number": "901-309-7700",
            "fax_number": "901-507-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "CHAD",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3353819",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.