Individual provider Active NPI

Theodore Basile Qozi, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Carlsbad, CA
National Provider Identifier
1568675007
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4720 Issued in CA
Practice address
2617 Town Garden Road
Carlsbad, CA 92009-3072
Phone
(760) 583-3006
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4720 CA Primary

Addresses

Primary practice location

2617 Town Garden Road
Carlsbad, CA 92009-3072

Mailing address

2617 Town Garden Road
Carlsbad, CA 92009-3072
Phone (760) 583-3006

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20070727000751 CA Practitioner - Podiatry 2860593373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
For Feet Sake Podiatry Group, Inc.Group PAC ID 0143246686, 3 clinicians

Practice addresses (Care Compare)

1521 Bessie Ave
Tracy, CA 95376-3004
Phone (209) 835-4276

Hospital & facility affiliations

  • Comfort Assisting, Inc Home health agency, Walnut Creek, CA, CCN 059537
  • Sutter Tracy Community Hospital Hospital, Tracy, CA, CCN 050313

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue206
Removal of nail tissue760
Removal or shaving of skin growth588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4720CAMDFoot & Ankle Surgery Podiatrist
4720CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Consultants Medical Group Inc PastSince Nov 15, 2017 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tqozi207835@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568675007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 TOWN GARDEN ROAD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920093072",
            "telephone_number": "760-583-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 TOWN GARDEN ROAD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920093072",
            "telephone_number": "760-583-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QOZI",
        "first_name": "THEODORE",
        "middle_name": "BASILE",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.