Individual provider Active NPI

Patricia L Ferraro, D.P.M.

  • Podiatrist
  • South Lake Tahoe, CA
National Provider Identifier
1356301675
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3664 Issued in CA
Practice address
2229 Barton Ave
South Lake Tahoe, CA 96150-3411
Phone
(530) 541-2665
Fax
(530) 541-2615
NPI assigned
Mar 23, 2006
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 9201 NV
Podiatrist 213E00000X E3664 CA Primary

Addresses

Primary practice location

2229 Barton Ave
South Lake Tahoe, CA 96150-3411

Mailing address

2229 Barton Ave
South Lake Tahoe, CA 96150-3411
Phone (530) 541-2665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160609002433 TX Practitioner - Podiatry 9436175825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1559 Watasheamu Rd
Gardnerville, NV 89460-7455

Merit-based Incentive Payment System (MIPS)

Final score
73.59 of 100Reported as group
Quality
72.02
Promoting interoperability
24
Improvement activities
40
Cost
86.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue31
Removal of skin lesions1-10
Removal of nail tissue136
Removal or shaving of skin growth50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3664CAMDProfessional Counselor
E3664CAMDPodiatrist
9201NVMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Peterson DO Inc CurrentSince Sep 24, 2023 Accepting new patients

Locations

2229 Barton Ave
South Lake Tahoe, CA 96150
Phone (530) 539-4781

Interoperability endpoints

  • Direct secure messaging: patricia.ferraro@direct.wthc.nextgenshare.com
  • Direct secure messaging: pferraro710721@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1356301675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 BARTON AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503411",
            "telephone_number": "530-541-2665",
            "fax_number": "530-541-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 BARTON AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503411",
            "telephone_number": "530-541-2665",
            "fax_number": "530-541-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARO",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "9201",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

Verify at the official NPI Registry.