Active NPI
Vesta D McDowell, DPM
- Foot Surgery Podiatrist
- Bowie, MD
National Provider Identifier
1639145147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- P29611
- Practice address
- 14300 Gallant Fox LN Ste 201
Bowie, MD 20715-4033 - Phone
- (301) 352-7756
- Fax
- (301) 352-7725
- NPI assigned
- Feb 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | PO415 | DC | |
| Foot Surgery Podiatrist | 213ES0131X | P29611 | MD | Primary |
Addresses
Primary practice location
14300 Gallant Fox LN Ste 201
Bowie, MD 20715-4033
Mailing address
PO Box 624
Bowie, MD 20718-0624
Phone (301) 352-7756
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 413635700 | Medicaid | MD | |
| 010235300 | Medicaid | DC | |
| 480007024 | Other | MD | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P29611 | MD | MD | Foot Surgery Podiatrist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540944000000",
"number": "1639145147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 624",
"city": "BOWIE",
"state": "MD",
"postal_code": "207180624",
"telephone_number": "301-352-7756",
"fax_number": "301-352-7725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14300 GALLANT FOX LN STE 201",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154033",
"telephone_number": "301-352-7756",
"fax_number": "301-352-7725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDOWELL",
"first_name": "VESTA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-24",
"last_updated": "2018-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "DC",
"license": "PO415",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MD",
"license": "P29611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "413635700",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010235300",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "480007024",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.