Nicole Marie Surdock, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

E4802 Issued in CA

Practice address

47 Penny LN
Suite 1
Watsonville, CA 95076-6055

Phone

(831) 728-8844

NPI assigned

Jan 15, 2007

Last updated

Feb 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

California School of Podiatric Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Area Foot Care IncGroup PAC ID 0345329686, 127 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Choice Home Health Care Home health agency, Monterey, CA, CCN 557461
• Watsonville Community Hospital Hospital, Watsonville, CA, CCN 050194
• Dominican Hospital Hospital, Santa Cruz, CA, CCN 050242

Merit-based Incentive Payment System (MIPS)

Final score

88.65 of 100Reported as group

Quality

68.04

Promoting interoperability

99

Improvement activities

40

Cost

75.11

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.surdock.2@20181.direct.athenahealth.com
• Direct secure messaging: nsurdock@tfdoscci-ca.direct.office.nextgen.com
• Direct secure messaging: nsurdock@yourcarecommunity.org

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.

• Bay Area Foot Care, Inc

  dba Bay Area Foot Care

  • Foot & Ankle Surgery Podiatrist
  • San Francisco, CA
  • NPI 1508911892

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD
• Foot Doctors of Santa Cruz County Inc a Podiatry Group

  • Foot & Ankle Surgery Podiatrist
  • Watsonville, CA
  • NPI 1821380049
  Medicare reassignment NPD
• Bay Area Foot Care Inc

  • Foot & Ankle Surgery Podiatrist
  • San Jose, CA
  • NPI 1649136490
  NPD
• Bay Area Foot Care, Inc

  dba Bay Area Foot Care

  • Foot & Ankle Surgery Podiatrist
  • Watsonville, CA
  • NPI 1558089524

  Primary Podiatric Medicine

  NPD (past)
• Watsonville Hospital Corporation

  dba Watsonville Community Hospital

  • General Acute Care Hospital
  • Watsonville, CA
  • NPI 1710958228
  NPD (past)
• William E. Hopkins DPM

  dba The Foot Doctors of Santa Cruz Cnty, Inc

  • Primary Podiatric Medicine Podiatrist
  • Watsonville, CA
  • NPI 1801926274
  NPD (past)

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

• Coastal Home Care Services, Inc.

  dba Choice Home Health Care

  • Home Health Agency
  • Monterey, CA
  • NPI 1558392209
  Care Compare affiliation
• Dignity Health

  dba Dominican Hospital

  • General Acute Care Hospital
  • Santa Cruz, CA
  • NPI 1427181007
  Care Compare affiliation
• Pajaro Valley Health Care District Hospital Corporation

  dba Watsonville Community Hospital

  • General Acute Care Hospital
  • Watsonville, CA
  • NPI 1619607488
  Care Compare affiliation

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1174674436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PEBBLE BEACH CT",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950035724",
            "telephone_number": "510-435-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PENNY LN",
            "address_2": "SUITE 1",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766055",
            "telephone_number": "831-728-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURDOCK",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E4802",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "EL 1671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.P.M. RESIDENT'S LICENSE",
            "identifier": "EL 1671",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE LICENSE- DOCOTR OF PODIATRIC MEDICINE AND ANKLE SURGERY",
            "identifier": "E 4802",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah L Suarez-Abraham, MD
• Gabriela Suarez
• Ana Sullivan, RN
• Suman Ramakumar DDS Inc (ACCU Dental & Orthodontics)
• Diane E. Sunseri
• Nicole Janine Sutherland, MED, ATC
• Thomas Scott Suzuki, O.D.
• Georgina Florence Swan, LMFT
• Geoffrey Winston Sweeney
• Linda Szema, M.D.

• Primary Podiatric Medicine Podiatrist in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Primary Podiatric Medicine Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.