Individual provider Active NPI

Danielle Venegonia Crawford, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
National Provider Identifier
1760779573
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4012 Issued in FL
Practice address
6841 Blanding Blvd
Jacksonville, FL 32244-4418
Phone
(904) 862-2175
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01534 MD
Foot & Ankle Surgery Podiatrist 213ES0103X PO4012 FL Primary

Addresses

Primary practice location

6841 Blanding Blvd
Jacksonville, FL 32244-4418

Mailing address

1600 E Gude Dr
Suite 200
Rockville, MD 20850-1341
Phone (301) 933-7133

Other practice location 1

11801 Rockville Pike Ste 105
Rockville, MD 20852-2714
Phone (301) 881-6222

Other practice location 2

9422 Arlington Expy
Jacksonville, FL 32225
Phone (904) 559-1844

Other identifiers 1

IdentifierTypeStateIssuer
2353105 00MedicaidMD

Other names 1

  • Danielle Venegonia Crawford Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131101000481 MD Practitioner - Podiatry 0749415586 Reassigns benefits to 1 organization
I20190306001366 FL Practitioner - Podiatry 0749415586 Reassigns benefits to 1 organization
I20250418000707 IL Practitioner - Podiatry 0749415586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Podiatry Care PLLCGroup PAC ID 2567822661, 53 clinicians
Associated Foot Surgeons of Southwest Illinois, LTD.Group PAC ID 8123322955, 4 clinicians

Practice addresses (Care Compare)

1121 N Orleans St
Chicago, IL 60610-2511
Phone (877) 674-1211

2900 Frank Scott Pkwy W
Suite 900
Belleville, IL 62223-5000
Phone (618) 277-5700

Hospital & facility affiliations

  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • Community Hospital of Staunton Hospital, Staunton, IL, CCN 141306

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue432
Removal or shaving of skin growth277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jan 26, 2019 Accepting new patients
Associated Foot Surgeons of Belleville, LTD. Foot & Ankle Surgery CurrentSince Mar 24, 2025 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jan 26, 2019 Accepting new patients
Associated Foot Surgeons of Southwest Illinois, LTD. Foot & Ankle Surgery CurrentSince Mar 24, 2025 Accepting new patients
Aria Podiatry Care PLLC Podiatrist CurrentSince Nov 10, 2025 Accepting new patients
Aria Dental Care PC Past Accepting new patients

Locations

9422 Arlington Expy
Jacksonville, FL 32225
Phone (904) 559-1844

6841 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 862-2175

206 N Florida Ave
Lakeland, FL 33801
Phone (863) 209-7003

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

3128 E Hillsborough Ave
Tampa, FL 33610
Phone (813) 579-1767

2900 Frank Scott Pkwy W
Ste 900
Belleville, IL 62223
Phone (618) 277-5700

2900 Frank Scott Pkwy W
Belleville, IL 62223
Phone (618) 234-9200

1121 N Orleans St
Chicago, IL 60610
Phone (312) 943-4300

2133 Vadalabene Dr
Ste 5
Maryville, IL 62062
Phone (618) 205-6107

793 Sunset Blvd
O Fallon, IL 62269
Phone (618) 632-1100

402 N Wood St
Staunton, IL 62088
Phone (618) 391-6495

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBADD

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1760779573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E GUDE DR",
            "address_2": "SUITE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501341",
            "telephone_number": "301-933-7133",
            "fax_number": "301-933-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6841 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322444418",
            "telephone_number": "904-862-2175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11801 Rockville Pike Ste 105",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208522714",
            "country_code": "US",
            "telephone_number": "301-881-6222",
            "fax_number": "301-881-1639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9422 Arlington Expy",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32225",
            "country_code": "US",
            "telephone_number": "904-559-1844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "DANIELLE",
        "middle_name": "VENEGONIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01534",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2353105 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "CRAWFORD",
            "middle_name": "VENEGONIA",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.