Individual provider Active NPI

Melonie Romina Palmer, D.P.M.

  • Podiatrist
  • Claymont, DE
National Provider Identifier
1275626558
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1-0000131 Issued in DE
Practice address
1004 Society Dr
Palmer Podiatry
Claymont, DE 19703-1782
Phone
(302) 792-1961
Fax
(302) 792-1981
NPI assigned
Oct 1, 2006
Sex
Female
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E1-0000131 DE Primary
Podiatrist 213E00000X SC003464R PA

Addresses

Primary practice location

1004 Society Dr
Palmer Podiatry
Claymont, DE 19703-1782

Mailing address

10 Basswood LN
Wilmington, DE 19810-1927
Phone (302) 792-1961

Other identifiers 2

IdentifierTypeStateIssuer
0440231000OtherPABLUE SHIELD HMO ID#
0000878817MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040520001404 DE Practitioner - Podiatry 2365433034 Practice locations: Claymont, DE
I20050328000726 PA Practitioner - Podiatry 2365433034 Practice locations: Flourtown, PA

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)

1004 Society Dr
Claymont, DE 19703-1782
Phone (302) 792-1961

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1-0000131DEMDPodiatrist
SC003464RPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmer Podiatry Podiatrist CurrentSince Aug 7, 1990 Accepting new patients

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": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275626558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BASSWOOD LN",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198101927",
            "telephone_number": "302-792-1961",
            "fax_number": "302-792-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 SOCIETY DR",
            "address_2": "PALMER PODIATRY",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197031782",
            "telephone_number": "302-792-1961",
            "fax_number": "302-792-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MELONIE",
        "middle_name": "ROMINA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "E1-0000131",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003464R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD HMO ID#",
            "identifier": "0440231000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000878817",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claymont, DE

Sources for this page

Verify at the official NPI Registry.