Individual provider Active NPI

Jacob Edward Hanlon, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dover, DE
National Provider Identifier
1831196831
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E10000168 Issued in DE
Practice address
22 Old Rudnick LN
Dover, DE 19901-4912
Phone
(302) 674-9255
Fax
(302) 674-9255
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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 E10000168 DE Primary

Addresses

Primary practice location

22 Old Rudnick LN
Dover, DE 19901-4912

Mailing address

22 Old Rudnick LN
Dover, DE 19901-4912
Phone (302) 674-9255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20040330001064 DE Practitioner - Podiatry 3870585151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Podiatric Medicine PAGroup PAC ID 2567421563, 3 clinicians

Practice addresses (Care Compare)

18 S Dupont Blvd
Milford, DE 19963-1027
Phone (302) 674-9255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue153
Removal of skin lesions240
Removal of nail tissue3570
Removal or shaving of skin growth3277
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Podiatric Medicine PA Foot & Ankle Surgery CurrentSince Jul 1, 2004 Accepting new patients

Locations

22 Old Rudnick Ln
Dover, DE 19901
Phone (302) 674-1356

216 W Main St
Middletown, DE 19709
Phone (302) 674-9255

18 S DuPont Blvd
Milford, DE 19963
Phone (302) 430-7600

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1831196831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 OLD RUDNICK LN",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014912",
            "telephone_number": "302-674-9255",
            "fax_number": "302-674-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD RUDNICK LN",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014912",
            "telephone_number": "302-674-9255",
            "fax_number": "302-674-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLON",
        "first_name": "JACOB",
        "middle_name": "EDWARD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "DE",
            "license": "E10000168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.