Active NPI
Ricky Leon Robinson, DPM
- Podiatrist
- MPHS, TN
National Provider Identifier
1255473286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DPM0000000420
- Practice address
- 5145 Millbranch Road
MPHS, TN 38116 - Phone
- (901) 332-1567
- Fax
- (901) 332-1505
- NPI assigned
- Feb 13, 2007
- Last updated
- Feb 7, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DPM0000000420 | TN | Primary |
Addresses
Primary practice location
5145 Millbranch Road
MPHS, TN 38116
Mailing address
5145 Millbranch Road
MPHS, TN 38116
Phone (901) 332-1567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3351994 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120417000823 | TN | Practitioner - Podiatry | 3577724681 | Practice locations: Memphis, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5145 Mill Branch Rd
Memphis, TN 38116-8538
5145 Millbranch Rd
Memphis, TN 38116-8538
Phone (901) 332-1567
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1631 |
| Removal of nail tissue | 1903 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DPM0000000420 | TN | MD | Podiatrist |
| 420 | TN | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1255473286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5145 MILLBRANCH ROAD",
"city": "MPHS",
"state": "TN",
"postal_code": "38116",
"telephone_number": "901-332-1567",
"fax_number": "901-332-1505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5145 MILLBRANCH ROAD",
"city": "MPHS",
"state": "TN",
"postal_code": "38116",
"telephone_number": "901-332-1567",
"fax_number": "901-332-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "RICKY",
"middle_name": "LEON",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TN",
"license": "DPM0000000420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3351994",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in MPHS, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.