Individual provider Active NPI

Andrew Richard Collins, DPM

  • Podiatrist
  • Lewes, DE
National Provider Identifier
1205923737
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E10000147 Issued in DE
Practice address
17021 Old Orchard Rd
Suite 3
Lewes, DE 19958-4832
Phone
(302) 644-8008
Fax
(302) 644-6883
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E10000147 DE Primary
Podiatrist 213E00000X SC004403L PA

Addresses

Primary practice location

17021 Old Orchard Rd
Suite 3
Lewes, DE 19958-4832

Mailing address

17021 Old Orchard Rd
Suite 3
Lewes, DE 19958-4832
Phone (302) 644-8008

Other identifiers 8

IdentifierTypeStateIssuer
2122055OtherMAMSI
50184OtherMID ATLANTIC
2245531000OtherAMERIHEALTH HMO
211052OtherCOVENTRY
P00148040OtherRR MEDICARE
1000027199MedicaidDE
1319436OtherBCBS
1565980OtherAMERIHEALTH PPO

Other names 1

  • Dr. Andrew Richard Collins Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20040209000967 DE Practitioner - Podiatry 0143114454 Practice locations: Lewes, DE

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17021 Old Orchard Rd
Lewes, DE 19958-4832
Phone (302) 644-8008

Hospital & facility affiliations

  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007

Merit-based Incentive Payment System (MIPS)

Final score
79.03 of 100Reported as individual
Quality
58.05
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue39
Removal of skin lesions1-10
Removal of nail tissue1298
Removal or shaving of skin growth292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC004403LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ali Albert Anaim DPM PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: acollins23092@beebehealth.direct-ci.com

Organizations & group practices 1

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 1

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1205923737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17021 OLD ORCHARD RD",
            "address_2": "SUITE 3",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584832",
            "telephone_number": "302-644-8008",
            "fax_number": "302-644-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17021 OLD ORCHARD RD",
            "address_2": "SUITE 3",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584832",
            "telephone_number": "302-644-8008",
            "fax_number": "302-644-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ANDREW",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "E10000147",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004403L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2122055",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MID ATLANTIC",
            "identifier": "50184",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "2245531000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "211052",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00148040",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000027199",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1319436",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "1565980",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREW",
            "last_name": "COLLINS",
            "middle_name": "RICHARD",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.