Michael Robert Pincus, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

130 Issued in NM

Practice address

2207 Golf Course Rd SE Ste a
Ste a
Rio Rancho, NM 87124-1954

Phone

(505) 896-1500

Fax

(505) 896-1113

NPI assigned

Oct 28, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mpincus10350@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ryan K Anderson D P M P C

  • Foot & Ankle Surgery Podiatrist
  • Bountiful, UT
  • NPI 1639200215
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1497745509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 GOLF COURSE RD SE",
            "address_2": "SUITE A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241954",
            "telephone_number": "505-896-1500",
            "fax_number": "505-896-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 GOLF COURSE RD SE STE A",
            "address_2": "STE A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241954",
            "telephone_number": "505-896-1500",
            "fax_number": "505-896-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCUS",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53355",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Nicole Philpot, LMSW
• Phoenix Supports, LLC
• Marguerite Pascale Picard Miedzianski
• Evan Piche, DPT
• Zach Pickett, CRNA
• Kaylen Pinedo
• Pedro Pinedo
• David Pinnock Campbell, PHYSICIAN ASSISTANT
• Caprice R Pino, MS,LPCC, LADAC
• Cassidy Pino

• Podiatrist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Podiatrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.