Individual provider Active NPI

Whitney Rayanne Syrus, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Troy, AL
National Provider Identifier
1396125829
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
345 Issued in AL
Practice address
141 Scouting Cir
Troy, AL 36081-2540
Phone
(334) 494-8200
Fax
(334) 460-1984
NPI assigned
May 29, 2015
Last updated
Aug 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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 345 AL Primary

Addresses

Primary practice location

141 Scouting Cir
Troy, AL 36081-2540

Mailing address

107 E Watts St
Enterprise, AL 36330-2511
Phone (334) 494-8200

Other practice location 1

301 Medical Park Ave
Ste B
Andalusia, AL 36420-5361
Phone (334) 494-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190830002092 AL Practitioner - Podiatry 2163790593 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
345ALMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wiregrass Podiatry LLC CurrentSince Oct 18, 2021 Accepting new patients

Locations

107 E Watts St
Enterprise, AL 36330
Phone (334) 393-6837

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19193/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1396125829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E WATTS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302511",
            "telephone_number": "334-494-8200",
            "fax_number": "334-460-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SCOUTING CIR",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812540",
            "telephone_number": "334-494-8200",
            "fax_number": "334-460-1984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Medical Park Ave",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Andalusia",
            "state": "AL",
            "postal_code": "364205361",
            "country_code": "US",
            "telephone_number": "334-494-8200",
            "fax_number": "334-460-1984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYRUS",
        "first_name": "WHITNEY",
        "middle_name": "RAYANNE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AL",
            "license": "345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

Verify at the official NPI Registry.