Active NPI
Mark A Pifer, DPM
- Podiatrist
- Durham, NC
National Provider Identifier
1881762011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 146
- Practice address
- 114 Crutchfield St
Durham, NC 27704-2722 - Phone
- (919) 477-5000
- Fax
- (919) 477-0377
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 146 | NC | Primary |
Addresses
Primary practice location
114 Crutchfield St
Durham, NC 27704-2722
Mailing address
114 Crutchfield St
Durham, NC 27704-2722
Phone (919) 477-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908133 | Medicaid | NC | |
| 7908132 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20050525000603 | NC | Practitioner - Podiatry | 9032151576 | Practice locations: Durham, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
114 Crutchfield St
Durham, NC 27704-2722
Phone (919) 477-5000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 73 |
| Removal of skin lesions | 83 |
| Removal of nail tissue | 476 |
| Removal or shaving of skin growth | 341 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1881762011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 CRUTCHFIELD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042722",
"telephone_number": "919-477-5000",
"fax_number": "919-477-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 CRUTCHFIELD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042722",
"telephone_number": "919-477-5000",
"fax_number": "919-477-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIFER",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NC",
"license": "146",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908133",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7908132",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.