John Samuel Bidelspach, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

P0002345 Issued in FL

Practice address

487 Bayou Village Dr
Tarpon Springs, FL 34689-3607

Phone

(866) 362-3668

Fax

(866) 596-7195

NPI assigned

Oct 6, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, FL2 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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

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

Practice roles

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.

• Coast 2 Coast Financial & Marketing Services LLC

  • Foot & Ankle Surgery Podiatrist
  • Land O Lakes, FL
  • NPI 1952547986

  GA

  Medicare reassignment Authorized official
• DPM Hairston 01 FL LLC

  • Foot & Ankle Surgery Podiatrist
  • Brooksville, FL
  • NPI 1508988015
  NPD (past)
• Elena Neveux OD PA

  • Optometrist
  • St Petersburg, FL
  • NPI 1790968667
  NPD (past)
• DPM Brissett Nrga LLC

  • Podiatrist
  • Lithonia, GA
  • NPI 1326040114
  NPD (past)
• Podiatric Medical Associates

  • Podiatrist
  • Macon, GA
  • NPI 1871646521
  NPD (past)

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1326299512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2497",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346882497",
            "telephone_number": "866-362-3668",
            "fax_number": "866-596-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 BAYOU VILLAGE DR",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893607",
            "telephone_number": "866-362-3668",
            "fax_number": "866-596-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDELSPACH",
        "first_name": "JOHN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-06",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "P0002345",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Best Care Senior Living for Tbi LLC
• Tanya Bhardwaj
• Jwalant Bhatt, PHARMD
• Bi-Wise Drugs, Inc
• Sarah E Bickler, PA-C
• Kellie Biggs, PTA
• Allison C Binko, CCC-SLP
• Whitney Nicole Bivens
• Elizabeth Jean Blankenship, LCSW
• Gerard J Bogin, DC

• Foot & Ankle Surgery Podiatrist in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.