Individual provider Active NPI

Joseph R Disabato, DPM

  • Foot & Ankle Surgery Podiatrist
  • Charlottesville, VA
National Provider Identifier
1881664571
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103000933 Issued in VA
Practice address
103 S Pantops Dr
Suite 201
Charlottesville, VA 22911-8617
Phone
(434) 977-8040
Fax
(434) 977-8083
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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 0103000933 VA Primary

Addresses

Primary practice location

103 S Pantops Dr
Suite 201
Charlottesville, VA 22911-8617

Mailing address

103 S Pantops Dr
Suite 201
Charlottesville, VA 22911-8617
Phone (434) 977-8040

Other identifiers 3

IdentifierTypeStateIssuer
009300660MedicaidVA
020497OtherVABLUE SHIELD
480016878OtherVARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20040209000208 VA Practitioner - Podiatry 3274426663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 S Pantops Dr
Suite 201
Charlottesville, VA 22911-8617
Phone (434) 977-8040

Hospital & facility affiliations

  • Sentara Home Care Services Home health agency, Charlottesville, VA, CCN 497019
  • Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077
  • Uva Health Culpeper Medical Center Hospital, Culpeper, VA, CCN 490019

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue128
Removal of skin lesions30
Removal of nail tissue301
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103000933VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Foot & Ankle Surgical Associates Foot & Ankle Surgery CurrentSince Jun 23, 2009 Accepting new patients

Locations

103 S Pantops Dr
Ste 201
Charlottesvle, VA 22911
Phone (434) 977-8040

Interoperability endpoints

  • Direct secure messaging: jrdisabato@vfaasa-va.direct.office.nextgen.com

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 3

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1881664571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S PANTOPS DR",
            "address_2": "SUITE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118617",
            "telephone_number": "434-977-8040",
            "fax_number": "434-977-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S PANTOPS DR",
            "address_2": "SUITE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118617",
            "telephone_number": "434-977-8040",
            "fax_number": "434-977-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISABATO",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103000933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009300660",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "020497",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480016878",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.