NPIMap

Individual provider Active NPI

Mark Allen Erdman, DPM

  • Podiatrist
  • Midlothian, VA
National Provider Identifier
1164534665
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103300935 Issued in VA
Practice address
1336 Alverser PLZ
Midlothian, VA 23113-2604
Phone
(804) 594-1944
Fax
(804) 594-1945
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103300935 VA Primary

Addresses

Primary practice location

1336 Alverser PLZ
Midlothian, VA 23113-2604

Mailing address

1336 Alverser PLZ
Midlothian, VA 23113-2604
Phone (804) 594-1944

Other identifiers 8

IdentifierTypeStateIssuer
7330335OtherVACIGNA
188610OtherVAANTHEM
2131963OtherVAMAMSI
5598322OtherVAFIRST HEALTH
010136296MedicaidVA
861077371OtherVAPHCS
7247698OtherVAAETNA
259460OtherVASOUTHERN HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050207000110 VA Practitioner - Podiatry 2567434301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Earnest Foot and Ankle Specialists PLCGroup PAC ID 3870582471, 2 clinicians

Practice addresses (Care Compare)

1336 Alverser PLZ
Midlothian, VA 23113-2604
Phone (804) 594-1944

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue303
Removal of skin lesions1-10
Removal of nail tissue340
Removal or shaving of skin growth149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103300935VAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Virtual Foot and Ankle Care, LLC Current Accepting new patients
Earnest Foot and Ankle Specialists PLC Podiatrist CurrentSince Feb 1, 2005 Accepting new patients
Allentown Family Foot Care Professional Corporation Podiatrist PastSince Feb 1, 2004 Accepting new patients

Locations

1336 Alverser Plz
Midlothian, VA 23113
Phone (804) 594-1944

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8jbgxuNWdtuelGLFHIXdkqcQh-JLjFrK/

Organizations & group practices 3

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1164534665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 ALVERSER PLZ",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132604",
            "telephone_number": "804-594-1944",
            "fax_number": "804-594-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 ALVERSER PLZ",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132604",
            "telephone_number": "804-594-1944",
            "fax_number": "804-594-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDMAN",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103300935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7330335",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "188610",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2131963",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5598322",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010136296",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "861077371",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7247698",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "259460",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.