Individual provider Active NPI

Darrell Glenn Croft, DPM

  • Foot & Ankle Surgery Podiatrist
  • Germantown, TN
National Provider Identifier
1780667188
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM412 Issued in TN
Practice address
2120 Exeter Rd Ste 130
Germantown, TN 38138-3900
Phone
(901) 756-1680
Fax
(901) 755-3389
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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 DPM412 TN Primary

Addresses

Primary practice location

2120 Exeter Rd Ste 130
Germantown, TN 38138-3900

Mailing address

2120 Exeter Rd Ste 130
Germantown, TN 38138-3900
Phone (901) 756-1680

Other identifiers 2

IdentifierTypeStateIssuer
06934511MedicaidMS
33518841MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20081120000048 TN Practitioner - Podiatry 1153350210 Practice locations: Germantown, TN

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

2013 Exeter Rd
Germantown, TN 38138-3946
Phone (901) 737-4035

2120 Exeter Rd
Suite 130
Germantown, TN 38138-3900
Phone (901) 756-1680

8059 Stage Hills Blvd
Bartlett, TN 38133-4071
Phone (901) 383-4515

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue136
Removal of nail tissue556
Removal or shaving of skin growth73
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM412TNMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Darrell G. Croft, DPM Foot & Ankle Surgery PastSince Oct 31, 2008 Accepting new patients
Memphis Spine Center PastSince May 16, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1780667188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 EXETER RD STE 130",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383900",
            "telephone_number": "901-756-1680",
            "fax_number": "901-755-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 EXETER RD STE 130",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383900",
            "telephone_number": "901-756-1680",
            "fax_number": "901-755-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFT",
        "first_name": "DARRELL",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06934511",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33518841",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.