Ignis Clifford Retief, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

DPM00583 Issued in TN

Practice address

397 Wallace Rd
Suit 411
Nashville, TN 37211-4854

Phone

(615) 332-0330

Fax

(615) 332-0334

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IIJFBA

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.

• Affiliated Dermatologists of Green Hills PC

  dba Retief Skin Center

  • MOHS-Micrographic Surgery Physician
  • Nashville, TN
  • NPI 1679742423
  NPD
• The Surgical Clinic PLLC

  • Surgery Physician
  • Nashville, TN
  • NPI 1417983099
  NPD (past)
• Tod R Bushman DPM PC

  dba Diabetic Foot Center

  • Foot & Ankle Surgery Podiatrist
  • Hermitage, TN
  • NPI 1447450259
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1306825211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD, BLDG C.",
            "address_2": "STE. 411",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114854",
            "telephone_number": "615-332-0330",
            "fax_number": "615-332-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD",
            "address_2": "SUIT 411",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114854",
            "telephone_number": "615-332-0330",
            "fax_number": "615-332-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETIEF",
        "first_name": "IGNIS",
        "middle_name": "CLIFFORD",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TN",
            "license": "DPM00583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3376588",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Results-Ast JV, LLC
• Resurgeonce, LLC Bda Compass Human Performance (Compass Cellular Healing)
• Retail Health Clinics, LLC
• Justin Charles Rethi, CRNA
• Carla R Retief, M.D.
• Retina Labs USA, Inc.
• Jean-Marie Rettke
• Tyler Erhardt Rettke, DDS
• Austin Robert Retzloff, MD
• Lance Charlie Reuben

• Foot Surgery Podiatrist in Nashville, TN
• Providers in Nashville, TN by specialty
• Foot Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.