Individual provider Active NPI

Daniel London, DPM

  • Foot & Ankle Surgery Podiatrist
  • Venice, FL
National Provider Identifier
1932581931
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3993 Issued in FL
Practice address
115 Shamrock Blvd
Venice, FL 34293
Phone
(941) 493-8666
NPI assigned
Jun 25, 2015
Last updated
Jul 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180702002109 FL Practitioner - Podiatry 0547516791 Reassigns benefits to 1 organization

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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Removal of tissue43
Removal of skin lesions1-10
Removal of nail tissue897
Removal or shaving of skin growth571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3993FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael T. McCormick & Associates PA Foot & Ankle Surgery CurrentSince May 18, 2018 Accepting new patients
Michael T. McCormick & Associates PA Foot & Ankle Surgery CurrentSince May 18, 2018 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.

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

Verify at the official NPI Registry.