Organization Active NPI

Lance F. Caffiero DPM PA

  • Foot Surgery Podiatrist
  • Bowie, MD
National Provider Identifier
1891996138
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
01299 Issued in MD
Legal business name
LANCE F. CAFFIERO DPM PA
Practice address
4000 Mitchellville Rd Ste A400
Bowie, MD 20716-3137
Phone
(301) 262-1171
Fax
(301) 262-7483
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Mrs. Sandra Prichard
Title
Office Manager
Phone
(301) 262-1171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 01299 MD Primary

Addresses

Primary practice location

4000 Mitchellville Rd Ste A400
Bowie, MD 20716-3137

Mailing address

4000 Mitchellville Rd Ste A400
Bowie, MD 20716-3137
Phone (301) 262-1171

Other identifiers 2

IdentifierTypeStateIssuer
480035249OtherMDRAIL ROAD MEDICARE
309802800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090618000262 DC Part B Supplier - Clinic/Group Practice 2466500525 Receives reassigned benefits from 1 practitioner
Practice locations: Bowie, MD
O20100930019310 MD DME Supplier - Physician - Podiatry 2466500525 Practice locations: Bowie, MD

National Provider Directory

National Provider Directory

Locations

14999 Health Center Dr
Ste 202
Bowie, MD 20716
Phone (301) 218-4220

2401 Brandermill Blvd
#F
Gambrills, MD 21054
Phone (410) 451-3206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1891996138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE A400",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163137",
            "telephone_number": "301-262-1171",
            "fax_number": "301-262-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE A400",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163137",
            "telephone_number": "301-262-1171",
            "fax_number": "301-262-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCE F. CAFFIERO DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "PRICHARD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-262-1171",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MD",
            "license": "01299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "480035249",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309802800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.