Active NPI
Rhonda L Davis, DPM
- Foot Surgery Podiatrist
- Winchester, VA
National Provider Identifier
1366490989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 0103300962
- Practice address
- 621 E Jubal Early Dr
Winchester, VA 22601-5178 - Phone
- (540) 667-0130
- Fax
- (540) 667-3893
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 0103300962 | VA | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 10389 | WV |
Addresses
Primary practice location
621 E Jubal Early Dr
Winchester, VA 22601-5178
Mailing address
PO Box 1804
Winchester, VA 22604-8304
Phone (540) 667-0130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4184121 | Other | WV | MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44 Trifecta PL
Suite 200
Charles Town, WV 25414-5720
Phone (304) 728-5000
621 E Jubal Early Dr
Winchester, VA 22601-5178
Phone (540) 667-0130
Hospital & facility affiliations
- Winchester Medical Center
- Jefferson Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 113 |
| Removal of skin lesions | 42 |
| Removal of nail tissue | 19 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10389 | WV | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winchester, VA
- NPI 1619928017
-
- Medicare Defined Swing Bed Hospital Unit
- Ranson, WV
- NPI 1104242569
-
- Critical Access Hospital
- Ranson, WV
- NPI 1891722377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1366490989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1804",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226048304",
"telephone_number": "540-667-0130",
"fax_number": "540-667-3893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 E JUBAL EARLY DR",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226015178",
"telephone_number": "540-667-0130",
"fax_number": "540-667-3893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "RHONDA",
"middle_name": "L",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "VA",
"license": "0103300962",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "WV",
"license": "10389",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "4184121",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.