Active NPI
Nitie I Sroa, D.P.M.
- Podiatrist
- Hicksville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO3700
- Practice address
- 208 Columbus St Ste 200
Hicksville, OH 43526-1250 - Phone
- (419) 799-1180
- NPI assigned
- Mar 22, 2011
- Last updated
- May 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07001153A | IN | |
| Podiatrist | 213E00000X | 07001153B | IN | |
| Podiatrist | 213E00000X | POD001257 | GA | |
| Podiatrist | 213E00000X | PO3700 | FL | Primary |
| Foot Surgery Podiatrist | 213ES0131X | POD001257 | GA |
Addresses
Primary practice location
208 Columbus St Ste 200
Hicksville, OH 43526-1250
Mailing address
13611 Puff Rd
Fort Wayne, IN 46845-8802
Phone (419) 799-1180
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07001153B | Other | IN | PODIATRIC LICENSE |
| POD001257 | Other | GA | PODIATRY LICENSE |
| 36.003857 | Other | OH | PODIATRIC LICENSE |
| PO3700 | Other | FL | PODIATRIC FLORIDA LICENSE |
| 07001153A | Other | IN | PODIATRIC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Kent State University College of Podiatric Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
208 Columbus St
Suite 200
Hicksville, OH 43526-1250
Phone (419) 799-1180
Hospital & facility affiliations
- Community Hospitals and Wellness Centers
- Paulding County Hospital
- Fulton County Health Center
- Henry County Hospital, Inc
- Promedica Defiance Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 254 |
| Removal of skin lesions | 61 |
| Removal of nail tissue | 107 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD001257 | GA | MD | Podiatrist |
| 07001153A | IN | MD | Podiatrist |
| 07001153B | IN | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Foot and Ankle Clinic LLC | Podiatrist | Current | Accepting new patients |
| Midwest Foot and Ankle Clinic LLC | Podiatrist | Current | Accepting new patients |
| Midwest Foot and Ankle Clinic LLC | Podiatrist | Past | Accepting new patients |
| Midwest Foot and Ankle Clinic LLC | Podiatrist | Past | Accepting new patients |
| Midwest Foot and Ankle Clinic LLC | Podiatrist | Past | Accepting new patients |
| Peach State Surgical Centers, Inc | Podiatrist | Past | Accepting new patients |
Locations
121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015
1200 Ralston Ave
Ste 402
Defiance, OH 43512
Phone (419) 799-1180
208 Columbus St
Ste 200
Hicksville, OH 43526
Phone (419) 799-1180
1600 E Riverview Ave
Ste 102
Napoleon, OH 43545
Phone (419) 251-3700
1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIGECD/Endpoint/FIGECD
- nsroa119699@direct.parkviewexchange.com
Organizations & group practices 7
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.
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- Archbold, OH
- NPI 1265014286
-
- Durable Medical Equipment & Medical Supplies
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- NPI 1346906609
Podiatrist
-
- Podiatrist
- Hicksville, OH
- NPI 1376211839
-
- Durable Medical Equipment & Medical Supplies
- Paulding, OH
- NPI 1386399004
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-
- Durable Medical Equipment & Medical Supplies
- Hicksville, OH
- NPI 1528734035
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-
- Durable Medical Equipment & Medical Supplies
- Hicksville, OH
- NPI 1962175760
-
- Podiatrist
- Perry, GA
- NPI 1740312040
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bryan, OH
- NPI 1962458521
-
dba Defiance Regional Medical Center
- Critical Access Hospital
- Defiance, OH
- NPI 1699775726
-
- Critical Access Hospital
- Wauseon, OH
- NPI 1548279714
-
- Critical Access Hospital
- Napoleon, OH
- NPI 1407880909
-
- Critical Access Hospital
- Paulding, OH
- NPI 1144298514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1215236864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13611 PUFF RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468458802",
"telephone_number": "419-799-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 COLUMBUS ST STE 200",
"city": "HICKSVILLE",
"state": "OH",
"postal_code": "435261250",
"telephone_number": "419-799-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SROA",
"first_name": "NITIE",
"middle_name": "I",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-22",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07001153A",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07001153B",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "POD001257",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO3700",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "GA",
"license": "POD001257",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PODIATRIC LICENSE",
"identifier": "07001153B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PODIATRY LICENSE",
"identifier": "POD001257",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PODIATRIC LICENSE",
"identifier": "36.003857",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PODIATRIC FLORIDA LICENSE",
"identifier": "PO3700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PODIATRIC LICENSE",
"identifier": "07001153A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hicksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.