Active NPI
Caroline N Mpande, DPM
- Foot Surgery Podiatrist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- PO1000112
- Practice address
- 1100 New Jersey Ave SE Ste 500
Washington, DC 20003-3326 - Phone
- (202) 279-1817
- NPI assigned
- Jul 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36.003785 | OH | |
| Podiatrist | 213E00000X | 8773747262 | NY | |
| Foot Surgery Podiatrist | 213ES0131X | PO1000112 | DC | Primary |
Addresses
Primary practice location
1100 New Jersey Ave SE Ste 500
Washington, DC 20003-3326
Mailing address
1100 New Jersey Ave SE Ste 500
Washington, DC 20003-3326
Phone (202) 279-1817
Other practice location 1
1013 E Spring St
Saint Marys, OH 45885-2447
Phone (419) 394-8664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Unity Health Care Inc.
Practice addresses (Care Compare)
1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-7222
1500 Galen St SE
Washington, DC 20020-4913
Phone (202) 610-7160
3020 14TH St NW
Washington, DC 20009-6865
Phone (202) 745-4300
425 2ND St NW
Washington, DC 20001-2003
Phone (202) 508-0500
Hospital & facility affiliations
- Medstar Washington Hospital Center
- George Washington Univ Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 18 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8773747262 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pedirite Medical VA PLLC | Current | Accepting new patients | |
| Unity Health Care Inc. | Current | Accepting new patients | |
| Unity Health Care, Inc. | Foot Surgery | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000
3020 14th St NW
Washington, DC 20009
Phone (202) 745-4300
1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
10701 Main St
Fairfax, VA 22030
Phone (703) 273-7705
831 E Ellerslie Ave
South Chesterfield, VA 23834
Phone (718) 298-7345
Interoperability endpoints
- caroline.mpande@uhci.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1093894172
Foot Surgery
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1346014412
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487640207
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1679914436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 NEW JERSEY AVE SE STE 500",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033326",
"telephone_number": "202-279-1817",
"fax_number": "202-617-2985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 NEW JERSEY AVE SE STE 500",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033326",
"telephone_number": "202-279-1817"
}
],
"practiceLocations": [
{
"address_1": "1013 E Spring St",
"address_purpose": "LOCATION",
"city": "Saint Marys",
"state": "OH",
"postal_code": "458852447",
"country_code": "US",
"telephone_number": "419-394-8664",
"fax_number": "419-394-1148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MPANDE",
"first_name": "CAROLINE",
"middle_name": "N",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-09",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36.003785",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "8773747262",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "DC",
"license": "PO1000112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.