MICKENBERGS AMBULATORY FOOT CARE PA
MICKENBERGS AMBULATORY FOOT CARE PA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1386822104, based in Pasadena, MD. The organization lists 2 taxonomy classifications, with Durable Medical Equipment & Medical Supplies recorded as primary.
Getting there
The practice address on file is 8094 EDWIN RAYNOR BLVD STE C, Pasadena, MD 21122. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 01053 | MD | Durable Medical Equipment & Medical… primary |
| 01053 | MD | Podiatrist |
This provider holds licence 01053 issued in MD. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Dme Supplier - Physician - Podiatry
- PAC ID
- 6608995725
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Maryland | O20100930065407 | Dme Supplier - Physician - Podiatry |
| Maryland | O20110510000850 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Dme Supplier - Physician - Podiatry. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Durable Medical Equipment & Medical Supplies covers
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. NUCC Health Care Provider Taxonomy, code 332B00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 01053 | MD | primary |
| 213E00000X | Podiatrist | 01053 | MD |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1386822104 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 4, 2008 |
| Last updated | Apr 14, 2011 |
| Status | Active |
| Practice address |
8094 EDWIN RAYNOR BLVD STE C Pasadena, MD 21122 (410) 255-0040 Fax (410) 360-4955 |
| Other identifiers |
1338463
· Other 1386822104 · Other 1386822104 · Other 1386822104 · Other T276 · Other (MD) 1386822104 · Other 1386822104 · Other 1386822104 · Other 217484 · Other 062308307 · Medicaid (MD) 1386822104 · Other 480012800 · Other B765 001 · Other 1386822104 · Other 1386822104 · Other T765 · Other (MD) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 8 | 6 | 8 | 2 | 2 | 1 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 7 | 6 | 7 | 2 | 4 | 1 | 0 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.