Niccos John David, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO3227 Issued in FL

Practice address

643 Cape Coral Pkwy E
Sutie D
Cape Coral, FL 33904-8549

Phone

(239) 542-3581

Fax

(239) 542-4725

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 Medicine, 2003

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JHFHBA/Endpoint/JHFHBA
• FHIR API: https://fhir4.healow.com/fhir/r4/JHFHBA

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.

• Florida Foot and Ankle Physicians PA

  • Primary Podiatric Medicine Podiatrist
  • Cape Coral, FL
  • NPI 1770598617
  Medicare reassignment NPD

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669574893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 CAPE CORAL PKWY E",
            "address_2": "SUTIE D",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048549",
            "telephone_number": "239-542-3581",
            "fax_number": "239-542-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 CAPE CORAL PKWY E",
            "address_2": "SUTIE D",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048549",
            "telephone_number": "239-542-3581",
            "fax_number": "239-542-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "NICCOS",
        "middle_name": "JOHN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbie Lyn Darling, FNP-BC
• Alan M Davick, M.D.
• David a Mackoul, M.D., P.a.
• David R Driesbach DO
• Hilario David, M.D.
• Adianet Davila Marrero
• Mailenis Davila Tamayo
• Saily Davila Valdes, RBT
• Wilma Davilus
• April Davis, PHLEBOTOMIST

• Podiatrist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.