Individual provider Active NPI

John Edwin Bubser, DPM

  • Foot & Ankle Surgery Podiatrist
  • Landover, MD
National Provider Identifier
1184763583
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01202 Issued in MD
Practice address
8700 Central Ave
Suite 105
Landover, MD 20785-4831
Phone
(301) 499-3338
Fax
(301) 499-1266
NPI assigned
Feb 5, 2007
Last updated
Nov 27, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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 01202 MD Primary

Addresses

Primary practice location

8700 Central Ave
Suite 105
Landover, MD 20785-4831

Mailing address

8700 Central Ave
Suite 105
Landover, MD 20785-4831
Phone (301) 499-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040428001127 MD Practitioner - Podiatry 2860486974 Reassigns benefits to 1 organization
I20060120000459 DC Practitioner - Podiatry 2860486974 Reassigns benefits to 1 organization
O20100930086422 MD DME Supplier - Physician - PodiatryDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 4789678889 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dunkirk, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10264 Southern Maryland Blvd
Suite 105
Dunkirk, MD 20754-3037
Phone (410) 257-3558

8700 Central Ave
Suite 105
Landover, MD 20785-4861
Phone (301) 499-3338

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of skin lesions12
Removal of nail tissue2232
Removal or shaving of skin growth645
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01202MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
John E Bubser DPM PA Foot & Ankle Surgery CurrentSince Jan 1, 2004 Accepting new patients
Prince Georges Multi Specialty Surgery Center CurrentSince Jan 1, 2010 Accepting new patients
Capital Foot & Ankle Care Centre PA Foot & Ankle Surgery Past Accepting new patients
Capital Foot & Ankle Care Centre, PA Foot & Ankle Surgery PastSince Oct 1, 1997 Accepting new patients

Locations

10264 Southern Maryland Blvd
Ste 105
Dunkirk, MD 20754
Phone (410) 257-3558

10264 Southern Md Blvd
Dunkirk, MD 20754
Phone (410) 257-3558

10264 Southern Md Blvd
Ste 101
Dunkirk, MD 20754
Phone (410) 257-6931

8700 Central Ave
Ste 105
Landover, MD 20785
Phone (301) 499-3338

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1184763583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE",
            "address_2": "SUITE 105",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854831",
            "telephone_number": "301-499-3338",
            "fax_number": "301-499-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE",
            "address_2": "SUITE 105",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854831",
            "telephone_number": "301-499-3338",
            "fax_number": "301-499-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBSER",
        "first_name": "JOHN",
        "middle_name": "EDWIN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover, MD

Sources for this page

Verify at the official NPI Registry.