Individual provider Active NPI

Berthie Marie Labissiere, D.P.M.

  • Podiatrist
  • Washington, DC
National Provider Identifier
1821181223
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO582 Issued in DC
Practice address
7603 Georgia Ave NW
Ste 100
Washington, DC 20012-1630
Phone
(202) 882-9682
Fax
(202) 882-4983
NPI assigned
Sep 30, 2006
Last updated
Dec 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO582 DC Primary

Addresses

Primary practice location

7603 Georgia Ave NW
Ste 100
Washington, DC 20012-1630

Mailing address

7603 Georgia Ave NW
Ste 100
Washington, DC 20012-1630
Phone (202) 882-9682

Other identifiers 1

IdentifierTypeStateIssuer
017138200MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040716001101 DC Practitioner - Podiatry 8527047141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitian Podiatry Assoc PLLCGroup PAC ID 3577620681, 2 clinicians

Practice addresses (Care Compare)

7603 Georgia Ave NW
Suite 100
Washington, DC 20012-1630
Phone (202) 882-9682

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27
Removal of nail tissue983
Removal or shaving of skin growth501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PO582DCMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitian Podiatry Assoc PLLC Podiatrist CurrentSince Feb 1, 1999 Accepting new patients
Metropolitan Podiatry Associates Current Accepting new patients

Locations

6323 Georgia Ave NW
Ste 202
Washington, DC 20011
Phone (202) 291-7700

750 1st St NE
Ste 1020
Washington, DC 20002
Phone (202) 906-8353

7603 Georgia Ave NW
Ste 100
Washington, DC 20012
Phone (202) 723-0498

Interoperability endpoints

  • Direct secure messaging: berthie.labissiere@metropodiatryasso.ehi.direct-ci.com
  • Direct secure messaging: berthie.labissiere@mpap-dc1.direct.office.nextgen.com

Organizations & group practices 4

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1821181223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 GEORGIA AVE NW",
            "address_2": "STE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121630",
            "telephone_number": "202-882-9682",
            "fax_number": "202-882-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 GEORGIA AVE NW",
            "address_2": "STE 100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121630",
            "telephone_number": "202-882-9682",
            "fax_number": "202-882-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABISSIERE",
        "first_name": "BERTHIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DC",
            "license": "PO582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017138200",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.