Robert Thomas Portnow, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

2576 Issued in OH

Practice address

3691 Lee Rd
Ste 102
Shaker Heights, OH 44120-5145

Phone

(216) 491-9902

Fax

(216) 491-8151

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excelpodiatry Care LLCGroup PAC ID 7416451042, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations (25 of 28)

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.

• Madison Lee Podiatry Inc

  • Podiatrist
  • Shaker Heights, OH
  • NPI 1912955162
  Medicare reassignment NPD Authorized official
• Excelpodiatry Care LLC

  • Podiatrist
  • Murfreesboro, TN
  • NPI 1568259406

  OH

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1962465708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3691 LEE RD",
            "address_2": "STE 102",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205145",
            "telephone_number": "216-491-9902",
            "fax_number": "216-491-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3691 LEE RD",
            "address_2": "STE 102",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205145",
            "telephone_number": "216-491-9902",
            "fax_number": "216-491-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTNOW",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "2576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0752707",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480017232",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taryn Jessica Ponsky, LPC
• Bethany Pope
• Jan Poplar
• Lawanna Anita Porter, RN
• Erica Portis, RN
• Heidi Preisler
• Joyce Ann Prescott, MS, RDN, LDN
• Nicole Presti
• Juanita Price
• Mary Price

• Podiatrist in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.

Verify at the official NPI Registry.