Individual provider Active NPI

Regina Flippin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Milwaukee, WI
National Provider Identifier
1720019250
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
919.25 Issued in WI
Practice address
3915 W Capitol Dr
Milwaukee, WI 53216-2528
Phone
(414) 444-9242
Fax
(414) 444-9252
NPI assigned
Jul 5, 2006
Last updated
Jun 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 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 919.25 WI Primary

Addresses

Primary practice location

3915 W Capitol Dr
Milwaukee, WI 53216-2528

Mailing address

3915 W Capitol Dr
Milwaukee, WI 53216-2528
Phone (414) 444-9242

Other identifiers 4

IdentifierTypeStateIssuer
09932334OtherILBLUE CROSS BLUE SHIELD
391868935019OtherWIBLUE CROSS BLUE SHIELD
43241000MedicaidWI
P00426599OtherWIRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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
I20121203000317 VI Practitioner - Podiatry 7810950581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3001 Estate Orange GRV
Christiansted, VI 00820-4295
Phone (414) 793-3211

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue141
Removal of nail tissue160
Removal or shaving of skin growth21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
919WIMDPsychologist
919.25WIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Foot Care Center PC Foot & Ankle Surgery CurrentSince May 1, 2012 Accepting new patients
Foot and Ankle Pain Management Foot & Ankle Surgery Past Accepting new patients
Jondelle Jenkins Foot & Ankle Surgery Past Accepting new patients
Diabetic Institute Foot & Ankle Surgery PastSince Aug 1, 2012 Accepting new patients
Urban Foot Care Surgical Center LLC PastSince Nov 17, 2006 Accepting new patients

Locations

3001 Estate Orange Grv
Christiansted, VI 00820
Phone (340) 715-7755

9149 Estate Thomas
Ste 307
St Thomas, VI 00802
Phone (340) 776-7714

3915 W Capitol Dr
Milwaukee, WI 53216
Phone (414) 444-9242

Interoperability endpoints

  • Direct secure messaging: regina.flippin@3651.securemail.prognocis.com

Organizations & group practices 7

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1720019250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162528",
            "telephone_number": "414-444-9242",
            "fax_number": "414-444-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162528",
            "telephone_number": "414-444-9242",
            "fax_number": "414-444-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIPPIN",
        "first_name": "REGINA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "919.25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09932334",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "391868935019",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43241000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00426599",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.