Individual provider Active NPI

Mark Vincent Sorrentino, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Ames, IA
National Provider Identifier
1376506279
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00623 Issued in IA
Practice address
2222 Philadelphia St.
Ames Foot Clinic
Ames, IA 50010-8700
Phone
(515) 663-0900
Fax
(515) 663-0905
NPI assigned
Apr 11, 2006
Last updated
Jun 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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 00623 IA Primary

Addresses

Primary practice location

2222 Philadelphia St.
Ames Foot Clinic
Ames, IA 50010-8700

Mailing address

2222 Philadelphia St.
Ames Foot Clinic
Ames, IA 50010-8700
Phone (515) 663-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20040326001334 IA Practitioner - Podiatry 0840182549 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Orthopaedics and Sports Medicine PCGroup PAC ID 3476691551, 19 clinicians

Practice addresses (Care Compare)

12499 University Ave
Suite 210
Clive, IA 50325-8288
Phone (515) 440-2676

1345 SW Park Square Dr
Suite 200
Ankeny, IA 50023-2687
Phone (515) 440-2676

2006 N 4TH St
Suite 300
Indianola, IA 50125-4500
Phone (515) 440-2676

2222 Philadelphia St
Ames, IA 50010-8700
Phone (515) 440-2676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions1-10
Removal of nail tissue1062
Removal or shaving of skin growth385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00623IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Capital Orthopaedics and Sports Medicine PC Foot & Ankle Surgery CurrentSince Feb 1, 2025 Accepting new patients

Locations

2222 Philadelphia St
Ames, IA 50010
Phone (515) 663-0900

12499 University Ave
Ste 210
Des Moines, IA 50325

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19659/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mark.sorrentino.1@19659.direct.athenahealth.com
  • Direct secure messaging: msorrentino431344@direct.unitypoint.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1376506279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 PHILADELPHIA ST.",
            "address_2": "AMES FOOT CLINIC",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108700",
            "telephone_number": "515-663-0900",
            "fax_number": "515-663-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 PHILADELPHIA ST.",
            "address_2": "AMES FOOT CLINIC",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108700",
            "telephone_number": "515-663-0900",
            "fax_number": "515-663-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRENTINO",
        "first_name": "MARK",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "00623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.