Individual provider Active NPI

John Robert Taddeo, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Parma, OH
National Provider Identifier
1306104724
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003732 Issued in OH
Practice address
5625 Ridge Rd
Parma, OH 44129-2633
Phone
(440) 884-4100
Fax
(440) 884-4742
NPI assigned
Apr 24, 2012
Last updated
Jul 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 36.003732 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003732 OH Primary

Addresses

Primary practice location

5625 Ridge Rd
Parma, OH 44129-2633

Mailing address

5625 Ridge Rd
Parma, OH 44129-2633
Phone (440) 884-4100

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150615001530 OH Practitioner - Podiatry 4587975792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey a. Halpert DPM LLCGroup PAC ID 6901870732, 4 clinicians

Practice addresses (Care Compare)

5625 Ridge Rd
Parma, OH 44129-2633
Phone (440) 884-4100

785 E Royalton Rd
Broadview Heights, OH 44147-2530
Phone (440) 660-2990

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue148
Removal of skin lesions28
Removal of nail tissue953
Removal or shaving of skin growth130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey a. Halpert DPM, LLC Primary Podiatric Medicine CurrentSince Jul 6, 2015 Accepting new patients
Jeffrey a. Halpert DPM, LLC CurrentSince Jul 6, 2015 Accepting new patients

Locations

785 E Royalton Rd
Broadview Hts, OH 44147
Phone (440) 660-2990

5625 Ridge Rd
Parma, OH 44129
Phone (440) 884-4100

Interoperability endpoints

  • Direct secure messaging: jtaddeo37995@ehrdirect.uhhospitals.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1306104724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292633",
            "telephone_number": "440-884-4100",
            "fax_number": "440-884-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 RIDGE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441292633",
            "telephone_number": "440-884-4100",
            "fax_number": "440-884-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADDEO",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "36.003732",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.