Individual provider Active NPI

Sharmila Das-Wattley, DPM

  • Foot & Ankle Surgery Podiatrist
  • Farmington, ME
National Provider Identifier
1164420907
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD1076 Issued in ME
Practice address
115 Mt Blue Cir
Farmington, ME 04938-6239
Phone
(207) 860-2817
Fax
(888) 519-5127
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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 POD1076 ME Primary

Addresses

Primary practice location

115 Mt Blue Cir
Farmington, ME 04938-6239

Mailing address

PO Box 912
Wilton, ME 04294-0912
Phone (609) 922-3653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200501002123 FL Practitioner - Podiatry 8820083389 Reassigns benefits to 1 organization
Practice locations: New Port Richey, FL; Saint Petersburg, FL; St Petersburg, FL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4120 5TH Ave N
Suite 1
Saint Petersburg, FL 33713-6304
Phone (609) 922-3653

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue54
Removal of nail tissue16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SDW Consulting Inc CurrentSince Mar 5, 2023 Accepting new patients
Home Wound Healing LLC CurrentSince Jan 1, 2024 Accepting new patients
Sandy River Podiatry, PA Foot & Ankle Surgery PastSince Nov 1, 2005 Accepting new patients
Lake Region Foot and Ankle LLC Foot & Ankle Surgery Past Accepting new patients
Kennebec Valley Mental Health Center PastSince Jan 1, 2024 Accepting new patients
Cheltenham Foot and Ankle Past Accepting new patients
Lake Region Family Foot & Ankle Center Foot & Ankle Surgery PastSince Jan 31, 2010 Accepting new patients
Oehrlein Medical Group LLC Past Accepting new patients

Locations

4120 5th Ave N
Ste 1
St Petersburg, FL 33713
Phone (609) 922-3653

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1164420907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912",
            "city": "WILTON",
            "state": "ME",
            "postal_code": "042940912",
            "telephone_number": "609-922-3653",
            "fax_number": "888-519-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MT BLUE CIR",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386239",
            "telephone_number": "207-860-2817",
            "fax_number": "888-519-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAS-WATTLEY",
        "first_name": "SHARMILA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ME",
            "license": "POD1076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, ME

Sources for this page

Verify at the official NPI Registry.