Jerome M Privitera DPM, Inc.
NPI 1700969102ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Mentor, OH
Podiatrist, Foot & Ankle Surgery in Mentor, Ohio, registered in NPPES in October 2006. The authorized official on file is Jerome M. Privitera, DPM, Owner. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1700969102 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2006 |
| Last updated in NPPES | Oct 15, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | OH002454 | OH |
| Podiatrist, Primary Podiatric Medicine | 213EP1101X | OH001535 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (OH); Part B Supplier - Clinic/Group Practice (OH) |
|---|
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