DR. JOHN G. DELEONIBUS D.P.M. NPI 1366537102

NPI Information

NPI: 1366537102
Provider Name: DR. JOHN G. DELEONIBUS, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

CLIA Number: 21D2264828

Address:
2086 GENERALS HWY
SUITE 101
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 266-7666
Get Directions

DR. John G. Deleonibus, D.P.M. is a foot and ankle surgery podiatrist in Annapolis, MD. DR. John G. Deleonibus, D.P.M. NPI is 1366537102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2086 GENERALS HWY
SUITE 101
ANNAPOLIS, MD
ZIP 21401-700
Phone: (410) 266-7666
Fax: (410) 266-7703

The NPI 1366537102 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The CLIA number assigned to this NPI record is 21D2264828 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 11/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	00899	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	54880001	OTHER	DISTRICT OF COLUMBIA	BCBS DC
2	T224	MEDICARE PIN	MARYLAND
3	1394932	OTHER	MARYLAND	CIGNA PROVIDER ID
4	336315501	MEDICAID	MARYLAND
5	002778200	MEDICAID	MARYLAND
6	336315500	MEDICAID	MARYLAND
7	480016904	MEDICARE PIN	MARYLAND
8	0750330001	MEDICARE NSC	MARYLAND
9	2700467	OTHER	MARYLAND	UNITED HEALTHCARE PROVIDE
10	455037	OTHER	MARYLAND	AETNA PROVIDER ID
11	336315502	MEDICAID	MARYLAND
12	41259901	OTHER	MARYLAND	BCBS-MD
13	521709568	OTHER		TAX ID
14	T59871	MEDICARE UPIN	MARYLAND
15	26825	OTHER	MARYLAND	MAMSI PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »