Individual provider Active NPI

Leona Odemena, DPM

  • Podiatrist
  • Cambridge, MD
National Provider Identifier
1740386044
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01443 Issued in MD
Practice address
100 Bramble St
Cambridge, MD 21613-2471
Phone
(443) 225-6640
Fax
(443) 225-6641
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01443 MD Primary

Addresses

Primary practice location

100 Bramble St
Cambridge, MD 21613-2471

Mailing address

100 Bramble St
Cambridge, MD 21613-2471
Phone (443) 225-6640

Other identifiers 2

IdentifierTypeStateIssuer
5849300001OtherMDDURABLE MEDICAL EQUIPMENT (DME) PTAN
172837OtherMDMEDICARE TPAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110425000510 MD Practitioner - Podiatry 0446353965 Reassigns benefits to 1 organization
Practice locations: Cambridge, MD

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Bramble St
Cambridge, MD 21613-2471
Phone (443) 225-6640

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

Merit-based Incentive Payment System (MIPS)

Final score
63.36 of 100Reported as individual
Quality
16.59
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue51
Removal of nail tissue1429
Removal or shaving of skin growth353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01443MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Foot & Ankle Center Current Accepting new patients
Cambridge Foot & Ankle Center Podiatrist CurrentSince Jan 8, 2013 Accepting new patients

Locations

100 Bramble St
Cambridge, MD 21613
Phone (410) 330-2655

Interoperability endpoints

  • Direct secure messaging: lodemena483460@direct.umm.edu

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 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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1740386044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRAMBLE ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132471",
            "telephone_number": "443-225-6640",
            "fax_number": "443-225-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BRAMBLE ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216132471",
            "telephone_number": "443-225-6640",
            "fax_number": "443-225-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEMENA",
        "first_name": "LEONA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE MEDICAL EQUIPMENT (DME) PTAN",
            "identifier": "5849300001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TPAN",
            "identifier": "172837",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.