Individual provider Active NPI

Danalynn Guasteferro, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Birmingham, AL
National Provider Identifier
1881878296
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
175 Issued in AL
Practice address
2660 10TH Ave S Ste 608
Birmingham, AL 35205-1627
Phone
(205) 918-9181
Fax
(205) 918-6699
NPI assigned
Dec 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 175 AL Primary

Addresses

Primary practice location

2660 10TH Ave S Ste 608
Birmingham, AL 35205-1627

Mailing address

2261 White Way
Hoover, AL 35226-3125
Phone (205) 405-0567

Other identifiers 1

IdentifierTypeStateIssuer
K142OtherALMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050817000296 AL Practitioner - Podiatry 7517923998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Sports Medicine Birmingham, LLCGroup PAC ID 4880082429, 180 clinicians

Practice addresses (Care Compare)

1314 Alford Ave
Suite 101
Hoover, AL 35226-3169
Phone (205) 918-9181

201 Doug Baker Blvd
Hoover, AL 35242-2013
Phone (205) 408-0700

Hospital & facility affiliations

  • St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue300
Removal of skin lesions1-10
Removal of nail tissue36
Removal or shaving of skin growth42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
175ALMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Danalynn Guasteferro DPM PC Foot & Ankle Surgery CurrentSince Feb 17, 1999 Accepting new patients

Locations

2660 10th Ave S
Ste 608
Birmingham, AL 35205
Phone (205) 918-9181

1314 Alford Ave
Ste 101
Hoover, AL 35226
Phone (205) 405-0567

2811 Hospital Dr
Ste 201
Pell City, AL 35125
Phone (205) 884-7700

Organizations & group practices 2

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 1

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": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1881878296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 WHITE WAY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352263125",
            "telephone_number": "205-405-0567",
            "fax_number": "205-918-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 10TH AVE S STE 608",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051627",
            "telephone_number": "205-918-9181",
            "fax_number": "205-918-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUASTEFERRO",
        "first_name": "DANALYNN",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AL",
            "license": "175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K142",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.