Individual provider Active NPI

James Howard Mintzer, DPM PC

  • Foot Surgery Podiatrist
  • Washington, DC
National Provider Identifier
1649201922
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
P0402 Issued in DC
Practice address
1160 Varnum St NE
012
Washington, DC 20017-2107
Phone
(202) 269-4062
Fax
(202) 832-2607
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X P0402 DC Primary

Addresses

Primary practice location

1160 Varnum St NE
012
Washington, DC 20017-2107

Mailing address

1160 Varnum St NE
012
Washington, DC 20017-2107
Phone (202) 269-4062

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120125000144 DC Practitioner - Podiatry 7113138124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
64.1 of 100Reported as group
Quality
44.28
Improvement activities
40
Cost
46.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P0402DCMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wiener and Daniels, DPM, PA Foot Surgery CurrentSince Oct 1, 2023 Accepting new patients

Locations

1160 Varnum St NE
Ste 12
Washington, DC 20017
Phone (202) 269-4062

20 Crossroads Dr
Ste 15
Owings Mills, MD 21117
Phone (410) 235-2345

Interoperability endpoints

  • Direct secure messaging: james.mintzer@702.securemail.prognocis.com

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1649201922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "address_2": "012",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107",
            "telephone_number": "202-269-4062",
            "fax_number": "202-832-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "address_2": "012",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107",
            "telephone_number": "202-269-4062",
            "fax_number": "202-832-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZER",
        "first_name": "JAMES",
        "middle_name": "HOWARD",
        "credential": "DPM PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "DC",
            "license": "P0402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.