Individual provider Active NPI

Barry Michael Nemrow, DPM

  • Foot Surgery Podiatrist
  • Novato, CA
National Provider Identifier
1770539355
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E2585 Issued in CA
Practice address
1223 Grant Ave
Suite D
Novato, CA 94945-3157
Phone
(415) 897-7187
Fax
(415) 897-7938
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X E2585 CA Primary

Addresses

Primary practice location

1223 Grant Ave
Suite D
Novato, CA 94945-3157

Mailing address

1223 Grant Ave
Suite D
Novato, CA 94945-3157
Phone (415) 897-7187

Other identifiers 4

IdentifierTypeStateIssuer
480025698OtherCAMEDICARE RAILROAD
NE1200OtherCAAETNA
0270980001OtherCAMEDICARE CIGNA NOW NOR
000E25851MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20101208000168 CA Practitioner - Podiatry 7618031279 Reassigns benefits to 1 organization
Practice locations: Novato, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collins Podiatry CorporationGroup PAC ID 8820419732, 2 clinicians

Practice addresses (Care Compare)

1223 Grant Ave
Suite D
Novato, CA 94945-3157
Phone (415) 897-7187

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2585CAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Podiatry Corporation CurrentSince Dec 1, 2021 Accepting new patients
Marin General Hospital Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

1223 Grant Ave
Ste D
Novato, CA 94945
Phone (415) 897-7187

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1770539355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 GRANT AVE",
            "address_2": "SUITE D",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453157",
            "telephone_number": "415-897-7187",
            "fax_number": "415-897-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 GRANT AVE",
            "address_2": "SUITE D",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453157",
            "telephone_number": "415-897-7187",
            "fax_number": "415-897-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMROW",
        "first_name": "BARRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E2585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480025698",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "NE1200",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CIGNA NOW NOR",
            "identifier": "0270980001",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E25851",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.