Individual provider Active NPI

Charlotte Sekhon, DPM

  • Foot Surgery Podiatrist
  • Rolla, MO
National Provider Identifier
1366581852
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0103300967 Issued in VA
Practice address
1050 W 10TH St
Rolla, MO 65401-2905
Phone
(573) 426-6239
Fax
(573) 426-6247
NPI assigned
Feb 5, 2007
Last updated
Jul 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 0103300967 VA Primary

Addresses

Primary practice location

1050 W 10TH St
Rolla, MO 65401-2905

Mailing address

1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 426-6239

Other names 1

  • Charlotte Lorestani Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20191105001586 NV Practitioner - Podiatry 0547353005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr David Ellis DPM LLCGroup PAC ID 9436698511, 2 clinicians

Practice addresses (Care Compare)

10463 Double R Blvd
Suite 100
Reno, NV 89521-8908
Phone (775) 358-2542

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue56
Removal or shaving of skin growth25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2038NVMDGeneral Practice Dentistry
0103300967VAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. David Ellis DPM LLC CurrentSince Dec 2, 2024 Accepting new patients
Sean L. Lehmann, LLC Podiatrist PastSince Aug 10, 2019 Accepting new patients
Sentara Medical Group Podiatrist Past Accepting new patients
Virginia Podiatry PC Podiatrist Past Accepting new patients

Locations

10463 Double R Blvd
Ste 100
Reno, NV 89521
Phone (775) 355-8812

Organizations & group practices 5

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1366581852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012905",
            "telephone_number": "573-426-6239",
            "fax_number": "573-426-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012905",
            "telephone_number": "573-426-6239",
            "fax_number": "573-426-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKHON",
        "first_name": "CHARLOTTE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103300967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "LORESTANI",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rolla, MO

Sources for this page

Verify at the official NPI Registry.