Active NPI
Mitchell R Waskin, DPM
- Foot Surgery Podiatrist
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 0103000676
- Practice address
- 1465 Johnston Willis Dr
Richmond, VA 23235-4730 - Phone
- (804) 320-3668
- Fax
- (804) 320-2600
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 0103000676 | VA | Primary |
Addresses
Primary practice location
1465 Johnston Willis Dr
Richmond, VA 23235-4730
Mailing address
1465 Johnston Willis Dr
Richmond, VA 23235-4730
Phone (804) 320-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010103720 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Therapies of Roanoke, Inc.
Practice addresses (Care Compare)
1465 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 320-3668
6800 Woodlake Commons Loop
Midlothian, VA 23112-2281
Phone (804) 302-4589
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.95 of 100
- Promoting interoperability
- 87
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 15 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 370 |
| Removal or shaving of skin growth | 61 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Current | Accepting new patients | |
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Current | Accepting new patients | |
| Foot and Ankle Specialists of Virginia PC | Foot Surgery | Past | Accepting new patients |
Locations
1600 E Gude Dr
Ste 200
Rockville, MD 20850
66 Parkway Ln
Ste 102
Fishersville, VA 22939
Phone (540) 949-5150
1465 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 320-3668
Organizations & group practices 3
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.
-
- Podiatrist
- Concord, NC
- NPI 1255213997
-
- Podiatrist
- Colonial Heights, VA
- NPI 1770542599
Foot Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1528052115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 JOHNSTON WILLIS DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232354730",
"telephone_number": "804-320-3668",
"fax_number": "804-320-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 JOHNSTON WILLIS DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232354730",
"telephone_number": "804-320-3668",
"fax_number": "804-320-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASKIN",
"first_name": "MITCHELL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "VA",
"license": "0103000676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010103720",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.