Individual provider Active NPI

Johann Entinger, DPM

  • Foot & Ankle Surgery Podiatrist
  • Rutland, VT
National Provider Identifier
1942567078
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
056.0000205 Issued in VT
Practice address
69 Allen St Ste 1
Rutland, VT 05701-4564
Phone
(802) 773-8199
Fax
(802) 773-7974
NPI assigned
Apr 13, 2012
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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 056.0000205 VT Primary

Addresses

Primary practice location

69 Allen St Ste 1
Rutland, VT 05701-4564

Mailing address

69 Allen St Ste 1
Rutland, VT 05701-4564
Phone (802) 773-8199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170911000953 MD Practitioner - Podiatry 8224268255 Reassigns benefits to 1 organization
I20230612000418 VT Practitioner - Podiatry 8224268255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Foot and Ankle Center LLCGroup PAC ID 9335511666, 2 clinicians

Practice addresses (Care Compare)

69 Allen St
Suite 1
Rutland, VT 05701-4564
Phone (802) 773-8199

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue93
Removal of skin lesions11
Removal of nail tissue613
Removal or shaving of skin growth233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.0000205VTMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot and Ankle Center LLC Foot & Ankle Surgery CurrentSince Jun 1, 2023 Accepting new patients
Podiatry Group of Annapolis PA Podiatrist CurrentSince Sep 1, 2017 Accepting new patients

Locations

139 Old Solomons Island Rd
Ste C
Annapolis, MD 21401
Phone (410) 224-4448

69 Allen St
Ste 1
Rutland, VT 05701
Phone (802) 773-8199

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8913/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jentinger577775@direct.uvmhealth.org

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.

Hospital & facility affiliations 5

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": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1942567078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ALLEN ST STE 1",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014564",
            "telephone_number": "802-773-8199",
            "fax_number": "802-773-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ALLEN ST STE 1",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014564",
            "telephone_number": "802-773-8199",
            "fax_number": "802-773-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTINGER",
        "first_name": "JOHANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VT",
            "license": "056.0000205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.