Organization Active NPI

Elaine Allen, DPM LLC

  • Podiatrist
  • Charlottesville, VA
National Provider Identifier
1528572807
Registry record updated Nov 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ELAINE ALLEN, DPM LLC
Practice address
325 Four Leaf LN Ste 11a
Charlottesville, VA 22903-9203
Phone
(434) 242-8550
NPI assigned
Nov 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2017

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

Authorized official

Name
Dr. Elaine Allen, DPMNPI 1417970492
Title
Owner
Phone
(434) 242-8550

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

325 Four Leaf LN Ste 11a
Charlottesville, VA 22903-9203

Mailing address

1109 Locust Ave
Charlottesville, VA 22901-4033
Phone (404) 518-8748

Other names 1

  • Crozet Foot and Ankle Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180305000617 VA Part B Supplier - Clinic/Group Practice 4587925771 Receives reassigned benefits from 1 practitioner
Practice locations: Charlottesville, VA

National Provider Directory

National Provider Directory

Locations

325 Four Leaf Ln
Ste 11A
Charlottesvle, VA 22903
Phone (434) 242-8550

Practitioners & affiliated clinicians

Practitioners 1

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": "1511654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511654400000",
    "number": "1528572807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 LOCUST AVE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229014033",
            "telephone_number": "404-518-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 FOUR LEAF LN STE 11A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229039203",
            "telephone_number": "434-242-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE ALLEN, DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-26",
        "last_updated": "2017-11-26",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-242-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crozet Foot and Ankle Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2017; 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.