Individual provider Active NPI

Caroline N Mpande, DPM

  • Foot Surgery Podiatrist
  • Washington, DC
National Provider Identifier
1679914436
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO1000112 Issued in DC
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

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 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

Enrollment IDStateProvider typePAC IDDetails
I20150825005541 DC Practitioner - Podiatry 2567778244 Reassigns benefits to 2 organizations
I20210908000731 VA Practitioner - Podiatry 2567778244 Reassigns benefits to 1 organization

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.Group PAC ID 3476647264, shared by 23 NPIs, 151 clinicians

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 Hospital, Washington, DC, CCN 090011
  • George Washington Univ Hospital Hospital, Washington, DC, CCN 090001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue18
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8773747262NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pedirite Medical VA PLLC CurrentSince Jun 1, 2021 Accepting new patients
Unity Health Care Inc. CurrentSince Feb 5, 2020 Accepting new patients
Unity Health Care, Inc. Foot Surgery CurrentSince Feb 5, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.