Active NPI
Todd R Monroe, DPM
- Podiatrist
- Aberdeen, SD
National Provider Identifier
1386797348
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective May 19, 2011.
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 121
- Practice address
- 411 S 2ND St
Aberdeen, SD 57401-4187 - Phone
- (605) 229-3668
- Fax
- (605) 226-4972
- NPI assigned
- Jan 20, 2007
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 121 | SD | Primary |
Addresses
Primary practice location
411 S 2ND St
Aberdeen, SD 57401-4187
Mailing address
PO Box 101
Caledonia, IL 61011-0101
Phone (815) 544-9058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6800132 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121 | SD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386797348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 101",
"city": "CALEDONIA",
"state": "IL",
"postal_code": "610110101",
"telephone_number": "815-544-9058",
"fax_number": "815-544-2315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 S 2ND ST",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574014187",
"telephone_number": "605-229-3668",
"fax_number": "605-226-4972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONROE",
"first_name": "TODD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "SD",
"license": "121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6800132",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.