Individual provider Active NPI

Douglas A Tozzoli, DPM

  • Podiatrist
  • Allentown, PA
National Provider Identifier
1346235017
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003307-L Issued in PA
Practice address
501 N 17TH St Ste 107
Allentown, PA 18104-5044
Phone
(610) 432-9593
Fax
(610) 432-4887
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 302 NM
Podiatrist 213E00000X SC003307-L PA Primary

Addresses

Primary practice location

501 N 17TH St Ste 107
Allentown, PA 18104-5044

Mailing address

501 N 17TH St Ste 107
Allentown, PA 18104-5044
Phone (610) 432-9593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, GA2 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
I20090226000339 NM Practitioner - Podiatry 9032004775 Reassigns benefits to 1 organization
I20240520003548 GA Practitioner - Podiatry 9032004775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Footcare, LLCGroup PAC ID 4587748652, 27 clinicians

Practice addresses (Care Compare)

1519 Laney Walker Blvd
Augusta, GA 30904-5827
Phone (803) 508-7517

Merit-based Incentive Payment System (MIPS)

Final score
84.62 of 100Reported as group
Quality
63.47
Promoting interoperability
93
Improvement activities
40
Cost
87.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue85
Removal of skin lesions1-10
Removal of nail tissue429
Removal or shaving of skin growth483
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC003307-LPAMDPodiatrist
302NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan K Anderson D P M P C Podiatrist CurrentSince Jan 15, 2020 Accepting new patients
Physicians Footcare, LLC Podiatrist CurrentSince May 1, 2024 Accepting new patients
Douglas Tozzoli, DPM PC Podiatrist PastSince Mar 1, 1995 Accepting new patients

Locations

1519 Laney Walker Blvd
Augusta, GA 30904
Phone (706) 724-7000

104 Legion Dr
Las Vegas, NM 87701
Phone (505) 426-3500

105 Mills Ave
Ste 100
Las Vegas, NM 87701
Phone (505) 425-3313

1608 7th St
Ste B
Las Vegas, NM 87701
Phone (505) 355-2766

2019 Galisteo St
Ste K
Santa Fe, NM 87505
Phone (505) 982-0123

1213 Gusdorf Rd
Taos, NM 87571
Phone (505) 913-3490

Interoperability endpoints

  • Direct secure messaging: douglas.tozzolli.1@27654.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346235017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N 17TH ST STE 107",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045044",
            "telephone_number": "610-432-9593",
            "fax_number": "610-432-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 17TH ST STE 107",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045044",
            "telephone_number": "610-432-9593",
            "fax_number": "610-432-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOZZOLI",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "302",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003307-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.