Robert Andrew Dale, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

10395 Issued in WV

Practice address

600 Davisson Run Rd
Suite 200
Clarksburg, WV 26301-9307

Phone

(304) 623-6728

Fax

(304) 623-2638

NPI assigned

Sep 30, 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

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in WV, KY2 enrollments

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 2

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

360Care Services of Kentucky LLCGroup PAC ID 9931587888, 17 clinicians

Giaimo Mobile Podiatry of WV PLLCGroup PAC ID 1850666751, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: rdale105581@direct.wvuhsdirect.com

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.

• Giaimo Mobile Podiatry of WV PLLC

  • Podiatrist
  • Charleston, WV
  • NPI 1386183473
  Medicare reassignment Care Compare group NPD
• 360Care Services of Kentucky LLC

  • Social Worker
  • Louisville, KY
  • NPI 1669113023

  Podiatrist

  Medicare reassignment Care Compare group NPD
• 360Care Services of Kentucky LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1174394852
  NPD
• 360Care Services of Kentucky LLC

  • Podiatrist
  • Louisville, KY
  • NPI 1477324150
  NPD

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1679666911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DAVISSON RUN RD",
            "address_2": "SUITE 200",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019307",
            "telephone_number": "304-623-6728",
            "fax_number": "304-623-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DAVISSON RUN RD",
            "address_2": "SUITE 200",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019307",
            "telephone_number": "304-623-6728",
            "fax_number": "304-623-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "ROBERT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WV",
            "license": "10395",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006127",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008964",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID #",
            "identifier": "311573127",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA (FUNDS)",
            "identifier": "P00400794",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV STATE PODIATRY LICENSE",
            "identifier": "10395",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN",
            "identifier": "WV10395",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK PODIATRY LICENSE",
            "identifier": "N006127",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Franklin Brent Curry
• Nikki Curry
• Tonya Marie Curtis, CCMA
• Ashley Cutlip, RN
• Seth Wayne Dailey
• Sherry Dale, LPC
• Matthew Dalrymple, M.S.W
• Krista M Dalton
• Cara Damm, OTR/L
• John Edward Damm, PH.D.

• Podiatrist in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Podiatrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.