Individual provider Active NPI

David Ferrero Sr., D.P.M.

  • Foot Surgery Podiatrist
  • Fairmont, WV
National Provider Identifier
1316047020
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
248 Issued in WV
Practice address
900 Fairmont Ave
Suite 201
Fairmont, WV 26554-5141
Phone
(304) 367-1111
Fax
(304) 367-1128
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 248 WV Primary
Foot Surgery Podiatrist 213ES0131X SC-003441-L PA
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

900 Fairmont Ave
Suite 201
Fairmont, WV 26554-5141

Mailing address

900 Fairmont Ave
Suite 201
Fairmont, WV 26554-5141
Phone (304) 367-1111

Other identifiers 1

IdentifierTypeStateIssuer
0099603000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 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
I20100513000189 WV Practitioner - Podiatry 6901934827 Practice locations: Fairmont, WV
O20100930097913 WV DME Supplier - Physician - Podiatry 8628196904 Practice locations: Fairmont, WV

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 Fairmont Ave
Fairmont, WV 26554-5141
Phone (304) 367-1111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue38
Removal of skin lesions11
Removal of nail tissue1152
Removal or shaving of skin growth637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
SC-003441-LPAMDFoot Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1316047020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 FAIRMONT AVE",
            "address_2": "SUITE 201",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265545141",
            "telephone_number": "304-367-1111",
            "fax_number": "304-367-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 FAIRMONT AVE",
            "address_2": "SUITE 201",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265545141",
            "telephone_number": "304-367-1111",
            "fax_number": "304-367-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRERO",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WV",
            "license": "248",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC-003441-L",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099603000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

Verify at the official NPI Registry.