Individual provider Active NPI

Gina M Freeman, DPM

  • Podiatrist
  • Wilmington, DE
National Provider Identifier
1427033364
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
EI0000136 Issued in DE
Practice address
2323 Pennsylvania Ave Ste 2B
Wilmington, DE 19806-1332
Phone
(302) 765-2505
Fax
(302) 384-8046
NPI assigned
Dec 14, 2005
Last updated
Mar 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X EI0000136 DE Primary

Addresses

Primary practice location

2323 Pennsylvania Ave Ste 2B
Wilmington, DE 19806-1332

Mailing address

PO Box 9551
Wilmington, DE 19809
Phone (302) 765-2505

Other identifiers 1

IdentifierTypeStateIssuer
0001069450MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20120201000150 DE Practitioner - Podiatry 8527162551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2323 Pennsylvania Ave
Suite 2B
Wilmington, DE 19806-1332
Phone (302) 765-2505

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue65
Removal of nail tissue1557
Removal or shaving of skin growth165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
EI0000136DEMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Healthcare of Delaware, Inc. Podiatrist CurrentSince Sep 1, 1999 Accepting new patients
Careforce MD LLC PastSince Sep 1, 1999 Accepting new patients
Ali Albert Anaim DPM PC Past Accepting new patients
Total Foot Care P.a. Podiatrist PastSince Oct 28, 1994 Accepting new patients

Locations

2323 Pennsylvania Ave
Ste 2B
Wilmington, DE 19806
Phone (302) 765-2505

615 W 18th St
Wilmington, DE 19802
Phone (302) 234-5800

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1427033364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9551",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19809",
            "telephone_number": "302-765-2505",
            "fax_number": "302-765-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 PENNSYLVANIA AVE STE 2B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061332",
            "telephone_number": "302-765-2505",
            "fax_number": "302-384-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "GINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "EI0000136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001069450",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.