Active NPI
Daniel London, DPM
- Foot & Ankle Surgery Podiatrist
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3993
- Practice address
- 115 Shamrock Blvd
Venice, FL 34293 - Phone
- (941) 493-8666
- NPI assigned
- Jun 25, 2015
- Last updated
- Jul 11, 2018
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3993 | FL | Primary |
Addresses
Primary practice location
115 Shamrock Blvd
Venice, FL 34293
Mailing address
5140 Northridge Rd Unit 103
Sarasota, FL 34238-3719
Other practice location 1
1400 Locust St
Pittsburgh, PA 15219-5114
Phone (412) 232-5515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Shamrock Blvd
Venice, FL 34293-1630
Phone (941) 493-8666
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Removal of tissue | 43 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 897 |
| Removal or shaving of skin growth | 571 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO3993 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael T. McCormick & Associates PA | Foot & Ankle Surgery | Current | Accepting new patients |
| Michael T. McCormick & Associates PA | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
2001 S McCall Rd
Englewood, FL 34223
Phone (941) 300-6426
17835 Murdock Cir
Unit B
Port Charlotte, FL 33948
115 Shamrock Blvd
Venice, FL 34293
Phone (941) 493-8666
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Venice, FL
- NPI 1710104583
-
- Durable Medical Equipment & Medical Supplies
- Port Charlotte, FL
- NPI 1982418190
Foot & Ankle Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1932581931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5140 NORTHRIDGE RD UNIT 103",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342383719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 SHAMROCK BLVD",
"city": "VENICE",
"state": "FL",
"postal_code": "34293",
"telephone_number": "941-493-8666"
}
],
"practiceLocations": [
{
"address_1": "1400 Locust St",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152195114",
"country_code": "US",
"telephone_number": "412-232-5515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONDON",
"first_name": "DANIEL",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-25",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.