Individual provider Active NPI

Roy S. Dansky, D.P.M.

  • Podiatrist
  • Bel Air, MD
National Provider Identifier
1891849220
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD 1191 Issued in MD
Practice address
824 S Main St
Bel Air, MD 21014-4112
Phone
(410) 836-9667
Fax
(410) 836-9535
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MD 1191 MD Primary
Podiatrist 213E00000X 0805 GA

Addresses

Primary practice location

824 S Main St
Bel Air, MD 21014-4112

Mailing address

824 S Main St
Bel Air, MD 21014-4112
Phone (410) 836-9667

Other identifiers 3

IdentifierTypeStateIssuer
264080OtherMDUNITED HEALTHCARE ID #
T439HAOtherMDBCBS MARYLAND ID #
1213040001OtherMDDME PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20041008000296 MD Practitioner - Podiatry 7315906971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

824 S Main St
Bel Air, MD 21014-4112
Phone (410) 836-9667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0805GAMDPodiatrist
MD 1191MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harford Foot and Ankle Center, P.a. Podiatrist CurrentSince Nov 1, 1997 Accepting new patients

Locations

824 S Main St
Bel Air, MD 21014
Phone (410) 836-9667

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1891849220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 S MAIN ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144112",
            "telephone_number": "410-836-9667",
            "fax_number": "410-836-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 S MAIN ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144112",
            "telephone_number": "410-836-9667",
            "fax_number": "410-836-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSKY",
        "first_name": "ROY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "MD 1191",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "0805",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID #",
            "identifier": "264080",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MARYLAND ID #",
            "identifier": "T439HA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PROVIDER #",
            "identifier": "1213040001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.