Individual provider Active NPI

Amenze Ehanika, DPM

  • Primary Podiatric Medicine Podiatrist
  • Landover, MD
National Provider Identifier
1346863347
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
01769 Issued in MD
Practice address
8700 Central Ave Ste 105
Landover, MD 20785-4861
Phone
(301) 499-3338
Fax
(301) 499-1266
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 12

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.

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Podiatry Group PC 105 clinicians
Pedirite Medical VA PLLC 4 clinicians

Practice addresses (Care Compare)

6700 Alexander Bell Dr
Suite 200
Columbia, MD 21046-2105
Phone (888) 964-6681

7525 Carroll Ave
Takoma Park, MD 20912-5715
Phone (888) 964-6681

831 E Ellerslie Ave
Colonial Heights, VA 23834-1720
Phone (212) 764-0008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue3409
Removal or shaving of skin growth1325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240708003389 MD Practitioner - Podiatry 2567907199 Reassigns benefits to 2 organizations
I20240708003671 DC Practitioner - Podiatry 2567907199 Reassigns benefits to 2 organizations
I20260605000440 VA Practitioner - Podiatry 2567907199 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC CurrentSince Jan 6, 2025 Accepting new patients
Healthdrive Podiatry Group, PC CurrentSince Jan 6, 2025 Accepting new patients
John E Bubser DPM PA Primary Podiatric Medicine CurrentSince Apr 22, 2024 Accepting new patients
Capital Foot & Ankle Care Centre, PA PastSince Apr 22, 2024 Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

6700 Alexander Bell Dr
Ste 200
Columbia, MD 21046
Phone (201) 581-3411

10264 Southern Maryland Blvd
Ste 105
Dunkirk, MD 20754
Phone (410) 257-3558

8700 Central Ave
Ste 105
Landover, MD 20785
Phone (301) 499-3338

7525 Carroll Ave
Takoma Park, MD 20912
Phone (301) 270-4200

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 01769 MD Primary

Addresses

Primary practice location

8700 Central Ave Ste 105
Landover, MD 20785-4861

Mailing address

PO Box 806
Dunkirk, MD 20754-0806
Phone (410) 257-3558

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1346863347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207540806",
            "telephone_number": "410-257-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE STE 105",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854861",
            "telephone_number": "301-499-3338",
            "fax_number": "301-499-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHANIKA",
        "first_name": "AMENZE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MD",
            "license": "01769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover, MD

Sources for this page

Verify at the official NPI Registry.