Organization Active NPI

John G. Deleonibus, D.P.M. PA

  • Foot & Ankle Surgery Podiatrist
  • Annapolis, MD
National Provider Identifier
1477730109
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00899 Issued in MD
Legal business name
JOHN G. DELEONIBUS, D.P.M. PA
Doing business as
Annapolis Foot & Ankle Center
Annapolis Foot and Ankle Center
Practice address
2086 Generals Hwy
Suite 101
Annapolis, MD 21401-6700
Phone
(410) 266-7666
Fax
(410) 266-7703
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Dr. Eric S HarmelinNPI 1205926599
Title
Owner
Phone
(410) 266-7666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 00899 MD Primary

Addresses

Primary practice location

2086 Generals Hwy
Suite 101
Annapolis, MD 21401-6700

Mailing address

2086 Generals Hwy
Suite 101
Annapolis, MD 21401-6700
Phone (410) 266-7666

Other identifiers 7

IdentifierTypeStateIssuer
1394932OtherCIGNA
374588100MedicaidMD
26825OtherMDMAMSI
2700467OtherMDUNITED HEALTHCARE
T224JGOtherMDBSMD
5488OtherMDBSDC
455037OtherMDAETNA

Other names 2

  • Annapolis Foot & Ankle Center Doing business as
  • Annapolis Foot and Ankle Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090827000811 MD Part B Supplier - Clinic/Group Practice 1153476031 Receives reassigned benefits from 5 practitioners
Practice locations: Annapolis, MD; Stevensville, MD
O20100930034355 MD DME Supplier - Physician - Podiatry 1153476031 Practice locations: Annapolis, MD

National Provider Directory

National Provider Directory

Locations

1600 Crain Hwy S
Ste 501
Glen Burnie, MD 21061
Phone (410) 766-8911

130 Love Point Rd
Ste 102
Stevensville, MD 21666

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1477730109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 GENERALS HWY",
            "address_2": "SUITE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214016700",
            "telephone_number": "410-266-7666",
            "fax_number": "410-266-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 GENERALS HWY",
            "address_2": "SUITE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214016700",
            "telephone_number": "410-266-7666",
            "fax_number": "410-266-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN G. DELEONIBUS, D.P.M. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "HARMELIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-266-7666",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "00899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1394932",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374588100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "26825",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2700467",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD",
            "identifier": "T224JG",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSDC",
            "identifier": "5488",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "455037",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annapolis Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Annapolis Foot and Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Annapolis Foot and Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.