Active NPI
David Theodore Hamilos
- Foot & Ankle Surgery Podiatrist
- Johnson City, TN
National Provider Identifier
1811986490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 000284
- Practice address
- 508 Princeton Rd
Ste 202
Johnson City, TN 37601-2063 - Phone
- (423) 926-2741
- Fax
- (423) 926-5782
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000284 | TN | Primary |
Addresses
Primary practice location
508 Princeton Rd
Ste 202
Johnson City, TN 37601-2063
Mailing address
508 Princeton Rd
Suite 202
Johnson City, TN 37601-2060
Phone (423) 926-2741
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85440 | Other | TN | BCBS OF TENNESSEE |
| 3351538 | Medicaid | TN | |
| 000284 | Other | TN | TN PODIATRY LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040901000331 | TN | Practitioner - Podiatry | 9436124526 | Practice locations: Johnson City, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
508 Princeton Rd
Johnson City, TN 37601-2063
Phone (423) 926-2741
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 376 |
| Removal of nail tissue | 600 |
| Removal or shaving of skin growth | 148 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000284 | TN | MD | Foot & Ankle Surgery Podiatrist |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
-
- General Acute Care Hospital
- Elizabethton, TN
- NPI 1891801734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1811986490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 PRINCETON RD",
"address_2": "SUITE 202",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012060",
"telephone_number": "423-926-2741",
"fax_number": "423-926-5782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 PRINCETON RD",
"address_2": "STE 202",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012063",
"telephone_number": "423-926-2741",
"fax_number": "423-926-5782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILOS",
"first_name": "DAVID",
"middle_name": "THEODORE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2026-07-13",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TN",
"license": "000284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TENNESSEE",
"identifier": "85440",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3351538",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN PODIATRY LICENSE",
"identifier": "000284",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.