Individual provider Active NPI

Todd A Powers

  • Foot & Ankle Surgery Podiatrist
  • El Monte, CA
National Provider Identifier
1689716763
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4118 Issued in CA
Practice address
11800 E Valley Blvd
El Monte, CA 91732-3040
Phone
(626) 401-2775
Fax
(626) 401-9826
NPI assigned
Feb 13, 2007
Last updated
Oct 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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 E4118 CA Primary

Addresses

Primary practice location

11800 E Valley Blvd
El Monte, CA 91732-3040

Mailing address

5040 Montezuma St
Los Angeles, CA 90042-3229
Phone (310) 497-3580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20131122001367 WI Practitioner - Podiatry 2163543752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Podiatry Group PCGroup PAC ID 3375446958, 105 clinicians

Practice addresses (Care Compare)

200 S Executive Dr
Suite 101
Brookfield, WI 53005-4216
Phone (888) 964-6681

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue5600
Removal or shaving of skin growth189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4118CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC Foot & Ankle Surgery CurrentSince Oct 8, 2013 Accepting new patients
Healthdrive Podiatry Group, PC CurrentSince Oct 8, 2013 Accepting new patients

Locations

888 Worcester St
Ste 130
Wellesley, MA 02482
Phone (857) 255-0293

200 S Executive Dr
Ste 101
Brookfield, WI 53005
Phone (262) 262-6707

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1689716763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 MONTEZUMA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900423229",
            "telephone_number": "310-497-3580",
            "fax_number": "310-497-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 E VALLEY BLVD",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323040",
            "telephone_number": "626-401-2775",
            "fax_number": "626-401-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "TODD",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.