David Deiboldt, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

01308 Issued in MD

Practice address

10720 Baltimore Ave
Beltsville, MD 20705-2138

Phone

(301) 937-5666

Fax

(301) 937-0453

NPI assigned

Jul 4, 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 1

Medicare fee-for-service enrollment

Enrolled in DC, MD2 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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foot Centers of Maryland, LLCGroup PAC ID 4082750872, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGBECA/Endpoint/BGBECA
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Foot Centers of Maryland, LLC

  • Foot & Ankle Surgery Podiatrist
  • Baltimore, MD
  • NPI 1740413269

  DC

  Medicare reassignment Care Compare group NPD
• The Beltsville Foot and Ankle Center Inc

  • Podiatrist
  • Beltsville, MD
  • NPI 1265462188

  DC

  Medicare reassignment NPD Authorized official
• Foot Centers of Maryland, LLC

  • Foot & Ankle Surgery Podiatrist
  • Glen Burnie, MD
  • NPI 1043057508
  NPD (past)
• Polun Family Footcare P C

  • Podiatrist
  • Owings Mills, MD
  • NPI 1174615173
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Healthcare, Inc.

  • General Acute Care Hospital
  • Silver Spring, MD
  • NPI 1487650024
  Care Compare affiliation

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1992735807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 BALTIMORE AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052138",
            "telephone_number": "301-937-5666",
            "fax_number": "301-937-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 BALTIMORE AVE",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052138",
            "telephone_number": "301-937-5666",
            "fax_number": "301-937-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIBOLDT",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9022007 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Da'Mya Davis
• Rodneisha Chanelle Davis, M.S., CCC-SLP
• Shannon Davis
• Virginia De Leon
• Rakhi De, RPH
• Ronisha Channel Deluzio, M.S., CCC-SLP
• Aminatou Diallo
• Elisabeth Dickman
• Camilia Rochelle Dillard
• Caroline Dineen

• Podiatrist in Beltsville, MD
• Providers in Beltsville, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.