Individual provider Active NPI

John G. Deleonibus, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Annapolis, MD
National Provider Identifier
1366537102
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00899 Issued in MD
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

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2700467OtherMDUNITED HEALTHCARE PROVIDE
455037OtherMDAETNA PROVIDER ID
41259901OtherMDBCBS-MD
1394932OtherMDCIGNA PROVIDER ID
336315501MedicaidMD
002778200MedicaidMD
336315500MedicaidMD
336315502MedicaidMD
521709568OtherTAX ID
54880001OtherDCBCBS DC
26825OtherMDMAMSI 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090827000759 MD Practitioner - Podiatry 2567491392 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John G. Deleonibus, D.P.M. PA Foot & Ankle Surgery CurrentSince Apr 19, 1994 Accepting new patients
D & P, LLC Current Accepting new patients
Annapolis Foot and Ankle Center CurrentSince May 21, 2009 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.

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

Verify at the official NPI Registry.