Active NPI
John G. Deleonibus, D.P.M. PA
- Foot & Ankle Surgery Podiatrist
- Annapolis, MD
National Provider Identifier
1477730109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 00899
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric S Harmelin
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1394932 | Other | CIGNA | |
| 374588100 | Medicaid | MD | |
| 26825 | Other | MD | MAMSI |
| 2700467 | Other | MD | UNITED HEALTHCARE |
| T224JG | Other | MD | BSMD |
| 5488 | Other | MD | BSDC |
| 455037 | Other | MD | AETNA |
Other names 2
- Annapolis Foot & Ankle Center
- Annapolis Foot and Ankle Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot & Ankle Surgery Podiatrist
- Annapolis, MD
- NPI 1205926599
-
- Foot & Ankle Surgery Podiatrist
- Frederick, MD
- NPI 1740819457
-
- Foot & Ankle Surgery Podiatrist
- Annapolis, MD
- NPI 1366537102
-
- Foot & Ankle Surgery Podiatrist
- Annapolis, MD
- NPI 1942641618
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.