Active NPI
Mark Drake, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- T09-2012
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Sutter Auburn Faith Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.45 of 100
- Quality
- 75.36
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 123 |
| Removal of skin lesions | 19 |
| Removal of nail tissue | 529 |
| Removal or shaving of skin growth | 379 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T09-2012 | TX | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Foot & Ankle, a Podiatry Corporation | Foot & Ankle Surgery | Current | 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
- mdrake188898@hisp.ehr.sutterhealth.org
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Sacramento, CA
- NPI 1164460663
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1487694857
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, CA
- NPI 1194774299
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.