Individual provider Active NPI

Ami L Herbstrith, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cordova, TN
National Provider Identifier
1336135995
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
701 Issued in TN
Practice address
8055 Club Pkwy
Cordova, TN 38016-5967
Phone
(901) 309-7700
Fax
(901) 507-3297
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 701 TN Primary

Addresses

Primary practice location

8055 Club Pkwy
Cordova, TN 38016-5967

Mailing address

8055 Club Pkwy
Cordova, TN 38016-5967
Phone (901) 309-7700

Other identifiers 1

IdentifierTypeStateIssuer
103I480399MedicaidTN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110131000250 TN Practitioner - Podiatry 8426156498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Foot and Ankle Specialists, PLLCGroup PAC ID 5597753046, 6 clinicians

Practice addresses (Care Compare)

8055 Club Pkwy
Cordova, TN 38016-5967
Phone (901) 309-7700

Hospital & facility affiliations

  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue173
Removal of skin lesions260
Removal of nail tissue507
Removal or shaving of skin growth170
Skin biopsy1-10

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.

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Foot and Ankle Specialists, PLLC Foot & Ankle Surgery CurrentSince Jan 1, 2011 Accepting new patients

Locations

8055 Club Pkwy
Cordova, TN 38016
Phone (901) 309-7700

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.

Hospital & facility affiliations 4

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1336135995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 CLUB PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165967",
            "telephone_number": "901-309-7700",
            "fax_number": "901-507-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 CLUB PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165967",
            "telephone_number": "901-309-7700",
            "fax_number": "901-507-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBSTRITH",
        "first_name": "AMI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103I480399",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.