Individual provider Active NPI

Dorothy J Powell, DPM

  • Foot Surgery Podiatrist
  • Temple Hills, MD
National Provider Identifier
1972690949
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
000983 Issued in MD
Practice address
4467 Old Branch Ave
Suite 105
Temple Hills, MD 20748-1854
Phone
(301) 505-0500
Fax
(301) 505-0865
NPI assigned
Oct 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 000983 MD Primary
Foot Surgery Podiatrist 213ES0131X PO453 DC

Addresses

Primary practice location

4467 Old Branch Ave
Suite 105
Temple Hills, MD 20748-1854

Mailing address

PO Box 716
Temple Hills, MD 20757-0716
Phone (301) 505-0500

Other identifiers 1

IdentifierTypeStateIssuer
428264OtherMDMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20060210000571 DC Practitioner - Podiatry 6204841349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4467 Old Branch Ave
Suite 105
Temple Hills, MD 20748-1863
Phone (301) 505-0500

Hospital & facility affiliations

  • Adventist Healthcare Fort Washington Medical Ctr Hospital, Fort Washington, MD, CCN 210060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue74
Removal or shaving of skin growth139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO453DCMDFoot Surgery Podiatrist
000983MDMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Dorothy J Powell PC Foot Surgery CurrentSince Jan 27, 2013 Accepting new patients

Locations

4467 Old Branch Ave
Ste 105
Temple Hills, MD 20748
Phone (301) 505-0500

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1972690949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 716",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207570716",
            "telephone_number": "301-505-0500",
            "fax_number": "301-505-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 OLD BRANCH AVE",
            "address_2": "SUITE 105",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481854",
            "telephone_number": "301-505-0500",
            "fax_number": "301-505-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DOROTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MD",
            "license": "000983",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "DC",
            "license": "PO453",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "428264",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

Verify at the official NPI Registry.