Bill W Dalosis, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

006161 Issued in NY

Practice address

97 Pond Path
Lake Grove, NY 11755-1831

Phone

(786) 457-4723

NPI assigned

Jul 14, 2006

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

Enrolled in NY

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

Barry University School of Podiatric Medicine, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Advanced Podiatry of Manhasset, PLLCGroup PAC ID 6406917343, 17 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Podiatry of Manhasset, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Manhasset, NY
  • NPI 1669626370
  Medicare reassignment Care Compare group NPD
• Coram Podiatry PLLC

  • Podiatrist
  • Coram, NY
  • NPI 1902520810
  Medicare reassignment NPD
• Long Island Podiatric Surgery, P.C.

  • Foot Surgery Podiatrist
  • Lake Grove, NY
  • NPI 1366293334
  NPD Authorized official

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1497771604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 POND PATH",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551831",
            "telephone_number": "786-457-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 POND PATH",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551831",
            "telephone_number": "786-457-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALOSIS",
        "first_name": "BILL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "006161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "PK9701",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Coyle, LCSW-R
• Melissa Ann Crimi, PNP
• D K Optical, Inc.
• D K Optical, Inc.
• Kristen D'Aquila
• Dana Soler NP in Adult Health, P.C.
• Jessica Daverin, MS ED
• Dawn P. Brauer PT PC
• Ann Defilippo, LPN
• Kathleen Ann Dempsey

• Foot Surgery Podiatrist in Lake Grove, NY
• Providers in Lake Grove, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.