Individual provider Active NPI

Andrew J. Diller, DPM

  • Foot & Ankle Surgery Podiatrist
  • Beachwood, OH
National Provider Identifier
1982879680
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36-00-3545 Issued in OH
Practice address
3733 Park East Dr.
Suite 240
Beachwood, OH 44122-4337
Phone
(216) 245-1290
Fax
(866) 571-4884
NPI assigned
Apr 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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 36-00-3545 OH Primary

Addresses

Primary practice location

3733 Park East Dr.
Suite 240
Beachwood, OH 44122-4337

Mailing address

3733 Park East Dr.
Suite 240
Beachwood, OH 44122-4337
Phone (216) 245-1290

Other identifiers 1

IdentifierTypeStateIssuer
3142601MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110613000292 OH Practitioner - Podiatry 3375720758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry IncGroup PAC ID 6507936671, 16 clinicians

Practice addresses (Care Compare)

3733 Park E Dr
Suite 260
Beachwood, OH 44122-4337
Phone (216) 245-1290

Hospital & facility affiliations

  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • South Pointe Hospital Hospital, Warrensville Heights, OH, CCN 360144

Merit-based Incentive Payment System (MIPS)

Final score
94.53 of 100Reported as group
Quality
83.79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue169
Removal of skin lesions40
Removal of nail tissue1142
Removal or shaving of skin growth417
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Inc Foot & Ankle Surgery CurrentSince Nov 17, 2014 Accepting new patients
Podiatry Inc Foot & Ankle Surgery CurrentSince Nov 17, 2014 Accepting new patients

Locations

3733 Park East Dr
Ste 240
Beachwood, OH 44122
Phone (216) 378-2905

3733 Park East Dr
Ste 260
Beachwood, OH 44122

1236 Som Center Rd
Mayfield Heights, OH 44124
Phone (440) 681-2220

8382 Mentor Ave
Mentor, OH 44060

116 East Ave
Ste 4
Tallmadge, OH 44278
Phone (330) 310-6938

Interoperability endpoints

  • Direct secure messaging: adiller@usfas.emadirect.md

Organizations & group practices 7

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 2

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1982879680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 PARK EAST DR.",
            "address_2": "SUITE 240",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224337",
            "telephone_number": "216-245-1290",
            "fax_number": "866-571-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 PARK EAST DR.",
            "address_2": "SUITE 240",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224337",
            "telephone_number": "216-245-1290",
            "fax_number": "866-571-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLER",
        "first_name": "ANDREW",
        "middle_name": "J.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-00-3545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3142601",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.