Individual provider Active NPI

Ronald Michael Talis, D.P.M.

  • Podiatrist
  • Sanford, NC
National Provider Identifier
1699936807
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
609 Issued in NC
Practice address
821 S Horner Blvd
Sanford, NC 27330-5359
Phone
(919) 292-1610
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 609 NC Primary

Addresses

Primary practice location

821 S Horner Blvd
Sanford, NC 27330-5359

Mailing address

821 S Horner Blvd
Sanford, NC 27330-5359
Phone (919) 292-1610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150127000756 NC Practitioner - Podiatry 4789908542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Foot and Ankle PLLCGroup PAC ID 5395059869, 4 clinicians

Practice addresses (Care Compare)

821 S Horner Blvd
Sanford, NC 27330-5359
Phone (919) 292-1610

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue252
Removal of skin lesions14
Removal of nail tissue306
Removal or shaving of skin growth66
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
609NCMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group NC, PC Podiatrist CurrentSince Feb 18, 2021 Accepting new patients
Premier Foot & Ankle PLLC CurrentSince Mar 30, 2015 Accepting new patients
Premier Foot & Ankle PLLC PastSince Dec 8, 2024 Accepting new patients

Locations

821 S Horner Blvd
Sanford, NC 27330
Phone (919) 292-1610

821 S Horner Blvd
Ste A
Sanford, NC 27330
Phone (917) 554-3921

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: rtalis@pfaap-nc.direct.office.nextgen.com

Organizations & group practices 3

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 4

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1699936807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305359",
            "telephone_number": "919-292-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305359",
            "telephone_number": "919-292-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIS",
        "first_name": "RONALD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.