Jose A. Deborja, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

01268 Issued in MD

Practice address

611 Dutchmans LN
Suite C
Easton, MD 21601

Phone

(410) 822-0991

Fax

(410) 822-0577

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Chesapeake Family Foot Care, PA

  • Podiatrist
  • Easton, MD
  • NPI 1700899192
  Medicare reassignment NPD Authorized official
• Chesapeake Family Foot Care, PA

  • Podiatrist
  • Pasadena, MD
  • NPI 1528256005
  NPD Authorized official
• Polun Family Footcare P C

  • Podiatrist
  • Owings Mills, MD
  • NPI 1174615173
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530921600000",
    "number": "1669446282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 705",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216018912",
            "telephone_number": "410-822-0991",
            "fax_number": "410-822-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 DUTCHMANS LN",
            "address_2": "SUITE C",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "21601",
            "telephone_number": "410-822-0991",
            "fax_number": "410-822-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBORJA",
        "first_name": "JOSE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2018-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MD",
            "license": "01268",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Harrison Davis, LCSWC
• Sheila Dawn Davis
• Janice Davison, LCSW C
• Gerald Manabat Dayrit, PT
• Meagan Dean
• Ashley Lynn Decarlo, CRNP
• Megan Deitterick, LMSW
• Michael A Del Torto, M.D.
• Susan Delean-Botkin, CRNP
• Macgda Beatrice Delinois

• Foot Surgery Podiatrist in Easton, MD
• Providers in Easton, MD by specialty
• Foot Surgery Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.