Linda M Didomenico, DPM
Individual provider Active NPI Podiatrist · Minerva, OH
NPI 1831221357 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831221357
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 36.003119 (OH)
- Practice address
- 1164 Alliance Rd NW
Minerva, OH 44657-8736 - Phone
- (330) 868-4599
- Fax
- (330) 868-1379
- NPI assigned
- Mar 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1164 Alliance Rd NW
Minerva, OH 44657-8736
Phone (330) 868-4599
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1075 |
| Removal or shaving of skin growth | 513 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111212000593 | OH | Practitioner - Podiatry | 2264607746 | Practice locations: Garrettsville, OH; Minerva, OH; Willoughby, OH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36.003119 | OH | Yes |
Addresses
Primary practice location
1164 Alliance Rd NW
Minerva, OH 44657-8736
Mailing address
1164 Alliance Rd NW
Minerva, OH 44657-8736
Phone (330) 868-4599
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2219889 | Medicaid | OH |
Other providers in Minerva, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.