Bryce Andrew Paschold, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

135000742 Issued in IL

Practice address

2160 S 1St Ave
Maywood, IL 60153-3328

Phone

(708) 216-4254

NPI assigned

Jun 28, 2011

Sex

Male

Sole proprietor

Yes

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.

• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527

  IL

  Medicare reassignment Care Compare group NPD
• Orthopedic and Sports Enhancement Center, LLC

  • Specialist
  • Bloomington, IL
  • NPI 1003900820

  IL

  Medicare reassignment NPD
• Advanced Physical Therapy Services LTD

  • Physical Therapist
  • Bloomington, IL
  • NPI 1760640262
  Care Compare group
• Advanced Physical Therapy Services, LTD

  • Physical Therapist
  • Bloomington, IL
  • NPI 1437141504
  Care Compare group
• Advanced Physical Therapy Services, LTD.

  • Physical Therapist
  • Kewanee, IL
  • NPI 1184882961
  Care Compare group
• Advanced Physical Therapy Services, LTD.

  • Physical Therapist
  • Macomb, IL
  • NPI 1336307115
  Care Compare group
• Advanced Physical Therapy Services, LTD.

  • Physical Therapist
  • Canton, IL
  • NPI 1932367810
  Care Compare group
• Central PA Pharmacy LLC.

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

• Saint James Hospital

  • General Acute Care Hospital
  • Pontiac, IL
  • NPI 1407808090

  Hospital

  Care Compare affiliation
• St Joseph Medical Center

  • General Acute Care Hospital
  • Bloomington, IL
  • NPI 1619916806

  Hospital

  Care Compare affiliation

Specialty

Podiatry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy Services, LTD. 216 clinicians

Osf Multi-Specialty Group 2,123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Medical Center Hospital, Bloomington, IL, CCN 140162
• Saint James Hospital Hospital, Pontiac, IL, CCN 140161

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/ca474ce8-3721-4dfa-ad48-2cc396fe7390/
• FHIR API: https://fhir-usa.unify.chbase.com/org/gibson-a5695337
• Direct secure messaging: bryce.paschold.1@1558.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 21, 2024.

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1003103045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20054 N 1000 EAST RD",
            "city": "CARLOCK",
            "state": "IL",
            "postal_code": "617259568",
            "telephone_number": "309-242-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCHOLD",
        "first_name": "BRYCE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005562",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IL",
            "license": "016005562",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "135000742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jun Soo Park, MD
• Min S Park, M.D.
• Sara A Park, APRN-CRNA
• SE Won Park
• Katherine Partyka, MD
• Amee K Patel, M.D.
• Anand Patel, MD MBA MS
• Anisha Patel, MD
• Ankur Patel, PHARMD
• Bhumi Patel

• All providers in Maywood, IL
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.