Jeremy Dublon, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

01754 Issued in MD

Practice address

12400 Park Potomac Ave Ste R2
Potomac, MD 20854-7024

Phone

(301) 983-8202

NPI assigned

Jun 18, 2015

Last updated

Oct 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

National Capital Foot and Ankle Center, PCGroup PAC ID 6204854532, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drdublon@ncfaac-md.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• National Capital Foot & Ankle Center, PC

  dba National Capital Foot & Ankle

  • Podiatrist
  • Potomac, MD
  • NPI 1235156951

  DC

  Medicare reassignment Care Compare group NPD
• National Capital Foot and Ankle Center

  • Customized Equipment (DME)
  • Washington, DC
  • NPI 1386147411

  Foot & Ankle Surgery

  NPD

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1457733123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 PARK POTOMAC AVE STE R2",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208547024",
            "telephone_number": "301-983-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 PARK POTOMAC AVE STE R2",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208547024",
            "telephone_number": "301-983-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBLON",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2023-10-03",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald W. Wiczer, M.D., George M. Korengold, M.D., Vanessa M. Mayol
• Beth Ann Dorman, MS,RDN,LDN
• Dr B Medical Group de PA
• Dr. B Medical Group (KS), P.a.
• Christopher Drennen, D.M.D.
• Jaime Durant, CRNP
• Early Years ABA Therapy LLC
• Natalie Eatedali, MS, RD, CDN
• Egan Physical Therapy LLC. (EganPT)
• Josephine Egan, DPT

• Foot & Ankle Surgery Podiatrist in Potomac, MD
• Providers in Potomac, MD by specialty
• Foot & Ankle Surgery Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.