Individual provider Active NPI

Carlos Myers, DPM

  • Podiatrist
  • Hampton, VA
National Provider Identifier
1790210664
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103301161 Issued in VA
Practice address
1618 Hardy Cash Dr
Hampton, VA 23666-2400
Phone
(757) 825-5783
NPI assigned
Apr 27, 2017
Last updated
Jan 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 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 0103301161 VA Primary
Foot Surgery Podiatrist 213ES0131X 0103301161 VA

Addresses

Primary practice location

1618 Hardy Cash Dr
Hampton, VA 23666-2400

Mailing address

533 Wood Nymph LN
Chesapeake, VA 23323-5359
Phone (901) 240-6576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20181127003201 VA Practitioner - Podiatry 0042554370 Reassigns benefits to 4 organizations
I20220429001396 DC Practitioner - Podiatry 0042554370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chen Foot and Ankle Center LLCGroup PAC ID 3971875808, 5 clinicians

Practice addresses (Care Compare)

1948 Jenkins Mill Rd
Suffolk, VA 23437-9401
Phone (757) 386-7071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions365
Removal of nail tissue2899
Removal or shaving of skin growth464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103301161VAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Podiatry PLLC Podiatrist CurrentSince Feb 22, 2022 Accepting new patients
Chen Foot & Ankle Center LLC Podiatrist CurrentSince Jan 23, 2023 Accepting new patients
Personal Footcare LLC CurrentSince Dec 1, 2020 Accepting new patients
Eastern Podiatry PLLC Podiatrist CurrentSince Feb 22, 2022 Accepting new patients
Pedirite Medical VA PLLC CurrentSince Mar 1, 2022 Accepting new patients
Personal Footcare LLC CurrentSince Dec 1, 2020 Accepting new patients
Podiatry LTD Foot Surgery PastSince Jul 1, 1992 Accepting new patients

Locations

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

10701 Main St
Fairfax, VA 22030
Phone (703) 273-7705

1300 Enterprise Dr
Lynchburg, VA 24502
Phone (434) 200-1816

2020 Wakefield Ave
Petersburg, VA 23805
Phone (804) 732-1211

831 E Ellerslie Ave
South Chesterfield, VA 23834
Phone (718) 298-7345

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1790210664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 WOOD NYMPH LN",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233235359",
            "telephone_number": "901-240-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 HARDY CASH DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662400",
            "telephone_number": "757-825-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "CARLOS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103301161",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103301161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.