Active NPI
John G. Deleonibus, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Annapolis, MD
National Provider Identifier
1366537102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 00899
- Practice address
- 2086 Generals Hwy
Suite 101
Annapolis, MD 21401-6700 - Phone
- (410) 266-7666
- Fax
- (410) 266-7703
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 00899 | MD | Primary |
Addresses
Primary practice location
2086 Generals Hwy
Suite 101
Annapolis, MD 21401-6700
Mailing address
2086 Generals Hwy
Suite 101
Annapolis, MD 21401-6700
Phone (410) 266-7666
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2700467 | Other | MD | UNITED HEALTHCARE PROVIDE |
| 455037 | Other | MD | AETNA PROVIDER ID |
| 41259901 | Other | MD | BCBS-MD |
| 1394932 | Other | MD | CIGNA PROVIDER ID |
| 336315501 | Medicaid | MD | |
| 002778200 | Medicaid | MD | |
| 336315500 | Medicaid | MD | |
| 336315502 | Medicaid | MD | |
| 521709568 | Other | TAX ID | |
| 54880001 | Other | DC | BCBS DC |
| 26825 | Other | MD | MAMSI PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John G. Deleonibus, D.P.M. PA | Foot & Ankle Surgery | Current | Accepting new patients |
| D & P, LLC | Current | Accepting new patients | |
| Annapolis Foot and Ankle Center | Current | Accepting new patients |
Locations
2086 Generals Hwy
Ste 101
Annapolis, MD 21401
Phone (410) 226-7666
130 Love Point Rd
Ste 103
Stevensville, MD 21666
Phone (410) 643-7746
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.
-
- Foot & Ankle Surgery Podiatrist
- Annapolis, MD
- NPI 1477730109
-
- Ambulatory Surgical Clinic/Center
- Annapolis, MD
- NPI 1235352998
-
- Non-Pharmacy Dispensing Site
- Stevensville, MD
- NPI 1871967414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1366537102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2086 GENERALS HWY",
"address_2": "SUITE 101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214016700",
"telephone_number": "410-266-7666",
"fax_number": "410-266-7703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2086 GENERALS HWY",
"address_2": "SUITE 101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214016700",
"telephone_number": "410-266-7666",
"fax_number": "410-266-7703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELEONIBUS",
"first_name": "JOHN",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MD",
"license": "00899",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE PROVIDE",
"identifier": "2700467",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "455037",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-MD",
"identifier": "41259901",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER ID",
"identifier": "1394932",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "336315501",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002778200",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "336315500",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "336315502",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "521709568",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DC",
"identifier": "54880001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PROVIDER ID",
"identifier": "26825",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.