Individual provider Active NPI

Phillip Barrett Corona, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Thibodaux, LA
National Provider Identifier
1689065559
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM.200059 Issued in LA
Practice address
970 S Acadia Rd
Thibodaux, LA 70301-4978
Phone
(985) 446-2335
Fax
(985) 446-2337
NPI assigned
Feb 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DPM.200059 LA Primary

Addresses

Primary practice location

970 S Acadia Rd
Thibodaux, LA 70301-4978

Mailing address

970 S Acadia Rd
Thibodaux, LA 70301-4978
Phone (985) 446-2335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20150618002584 LA Practitioner - Podiatry 5092026906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

970 S Acadia Rd
Suite C
Thibodaux, LA 70301-4978
Phone (985) 446-2335

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue28
Removal of nail tissue791
Removal or shaving of skin growth206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Clinic of Louisiana Inc CurrentSince Jul 1, 2015 Accepting new patients

Locations

6902 W Main St
Houma, LA 70360
Phone (985) 868-3136

970 S Acadia Rd
Ste C
Thibodaux, LA 70301
Phone (985) 446-2335

970 S Acadia Rd
Thibodaux, LA 70301
Phone (985) 446-2335

2100 Audubon Ave
Thibodaux, LA 70301
Phone (985) 446-2174

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1689065559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 S ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014978",
            "telephone_number": "985-446-2335",
            "fax_number": "985-446-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 S ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014978",
            "telephone_number": "985-446-2335",
            "fax_number": "985-446-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONA",
        "first_name": "PHILLIP",
        "middle_name": "BARRETT",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-12",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "DPM.200059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.