Individual provider Active NPI

Mark Drake, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Roseville, CA
National Provider Identifier
1184965725
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
T09-2012 Issued in TX
Practice address
5 Medical Plaza Dr
110
Roseville, CA 95661-2865
Phone
(916) 782-3444
Fax
(916) 782-3490
NPI assigned
Mar 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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 T09-2012 TX Primary

Addresses

Primary practice location

5 Medical Plaza Dr
110
Roseville, CA 95661-2865

Mailing address

3800 J St
200
Sacramento, CA 95816-5551
Phone (916) 453-8900

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131024001043 CA Practitioner - Podiatry 7012142243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Foot and Ankle, a Podiatry CorporationGroup PAC ID 9032200738, 6 clinicians

Practice addresses (Care Compare)

5 Medical Plaza Dr
Suite 110
Roseville, CA 95661-2866
Phone (916) 453-8900

Hospital & facility affiliations

  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
75.36
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue123
Removal of skin lesions19
Removal of nail tissue529
Removal or shaving of skin growth379
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T09-2012TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Foot & Ankle, a Podiatry Corporation Foot & Ankle Surgery CurrentSince Nov 17, 2014 Accepting new patients
Dignity Health Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

2575 E Bidwell St
Ste 230
Folsom, CA 95630
Phone (916) 453-8900

5 Medical Plaza Dr
Ste 110
Roseville, CA 95661
Phone (916) 782-3444

3800 J St
Ste 200
Sacramento, CA 95816
Phone (916) 453-8900

Interoperability endpoints

  • Direct secure messaging: mdrake188898@hisp.ehr.sutterhealth.org
  • Direct secure messaging: mdrake@direct.uspi.com

Organizations & group practices 4

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": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1184965725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 J ST",
            "address_2": "200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165551",
            "telephone_number": "916-453-8900",
            "fax_number": "916-454-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PLAZA DR",
            "address_2": "110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612865",
            "telephone_number": "916-782-3444",
            "fax_number": "916-782-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-06",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "T09-2012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.