Individual provider Active NPI

Carl Richard Ginsberg, DPM

  • Podiatrist
  • Jenkintown, PA
National Provider Identifier
1003816190
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002590L Issued in PA
Practice address
1250 Greenwood Ave
Suite 05a
Jenkintown, PA 19046-2901
Phone
(215) 887-3668
Fax
(215) 887-5815
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P0001587 FL
Podiatrist 213E00000X SC002590L PA Primary

Addresses

Primary practice location

1250 Greenwood Ave
Suite 05a
Jenkintown, PA 19046-2901

Mailing address

1250 Greenwood Ave
Suite 05a
Jenkintown, PA 19046-2901
Phone (215) 887-3668

Other identifiers 2

IdentifierTypeStateIssuer
00922956/0003MedicaidPA
0048290000OtherPAKEYSTONE

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040617000613 PA Practitioner - Podiatry 3173507985 Practice locations: Jenkintown, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1250 Greenwood Ave
Suite 05a
Jenkintown, PA 19046-2901

1250 Greenwood Ave
Suite 5a
Jenkintown, PA 19046-2966

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of nail tissue2925
Removal or shaving of skin growth316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P0001587FLMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1003816190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 GREENWOOD AVE",
            "address_2": "SUITE 05A",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462901",
            "telephone_number": "215-887-3668",
            "fax_number": "215-887-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 GREENWOOD AVE",
            "address_2": "SUITE 05A",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462901",
            "telephone_number": "215-887-3668",
            "fax_number": "215-887-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINSBERG",
        "first_name": "CARL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P0001587",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002590L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00922956/0003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0048290000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.