Individual provider Active NPI

John G Piacenti, DPM

  • Primary Podiatric Medicine Podiatrist
  • Chesapeake, VA
National Provider Identifier
1255343083
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
0103000977 Issued in VA
Practice address
1416 Shenandoah Pkwy
Chesapeake, VA 23320-8137
Phone
(757) 549-7945
Fax
(757) 549-2004
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 0103000977 VA Primary

Addresses

Primary practice location

1416 Shenandoah Pkwy
Chesapeake, VA 23320-8137

Mailing address

1416 Shenandoah Pkwy
Chesapeake, VA 23320-8137
Phone (757) 549-7945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050811000188 VA Practitioner - Podiatry 3779512686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Portsmouth, VA 23703
Phone 7579665323108

1012 Justis St
Chesapeake, VA 23325-2516
Phone (757) 420-7497

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue2804
Removal or shaving of skin growth31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0103000977VAMDPrimary Podiatric Medicine Podiatrist

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255343083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 SHENANDOAH PKWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233208137",
            "telephone_number": "757-549-7945",
            "fax_number": "757-549-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 SHENANDOAH PKWY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233208137",
            "telephone_number": "757-549-7945",
            "fax_number": "757-549-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIACENTI",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "VA",
            "license": "0103000977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.