Individual provider Active NPI

Regina Snow, DPM

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
National Provider Identifier
1003222555
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006537 Issued in PA
Practice address
5800 Ridge Ave
Philadelphia, PA 19128-1737
Phone
(215) 487-4284
NPI assigned
Jul 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006537 PA Primary

Addresses

Primary practice location

5800 Ridge Ave
Philadelphia, PA 19128-1737

Mailing address

648 Childs Ave
Drexel Hill, PA 19026-3805
Phone (484) 521-0233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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

Enrollment IDStateProvider typePAC IDDetails
I20170828003475 PA Practitioner - Podiatry 8729350616 Reassigns benefits to 4 organizations
I20260604003676 NJ Practitioner - Podiatry 8729350616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians
Saji Enterprises PCGroup PAC ID 8820238819, 3 clinicians

Practice addresses (Care Compare)

3801 Market St Mab
111 Podiatry University City
Philadelphia, PA 19104-3153
Phone (215) 662-9563

5000 Dearborn Cir
Suite 100B
Mount Laurel, NJ 08054-4108
Phone (215) 662-9563

971 E Lancaster Ave
Downingtown, PA 19335-5344
Phone (215) 990-9015

Hospital & facility affiliations

  • Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329
  • Temple University Hospital Hospital, Philadelphia, PA, CCN 390027
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223

Merit-based Incentive Payment System (MIPS)

Final score
56.32 of 100Reported as group
Quality
30.85
Promoting interoperability
51
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue77
Removal of skin lesions1-10
Removal of nail tissue2939
Removal or shaving of skin growth462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (2 of 7)

OrganizationSpecialtyStatusNew patients
Saji Enterprises, P.C. CurrentSince May 14, 2018 Accepting new patients
Springfield Podiatry LLC Foot & Ankle Surgery CurrentSince Jul 5, 2017 Accepting new patients

Locations

648 Childs Ave
Drexel Hill, PA 19026
Phone (484) 380-9989

120 Trexler Ave
Kutztown, PA 19530
Phone (610) 683-6220

139 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 423-9708

520 Maple Ave
Ste 1
West Chester, PA 19380
Phone (610) 436-1584

Networks

  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • OH PPO

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1404518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1003222555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 CHILDS AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263805",
            "telephone_number": "484-521-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281737",
            "telephone_number": "215-487-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "REGINA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-05",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.