Individual provider Active NPI

Ricky Leon Robinson, DPM

  • Podiatrist
  • MPHS, TN
National Provider Identifier
1255473286
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM0000000420 Issued in TN
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3351994MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1631
Removal of nail tissue1903
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM0000000420TNMDPodiatrist
420TNMDHearing 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

Verify at the official NPI Registry.