Individual provider Active NPI

Andrew Hewchuck, D.P.M.

  • Podiatrist
  • Bishop, CA
National Provider Identifier
1003979931
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
9503 Issued in NV
Practice address
310 W Line St
Bishop, CA 93514-3413
Phone
(760) 872-1636
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3878 CA
Podiatrist 213E00000X 9503 NV Primary

Addresses

Primary practice location

310 W Line St
Bishop, CA 93514-3413

Mailing address

310 W Line St
Bishop, CA 93514-3413
Phone (760) 872-1636

Other identifiers 3

IdentifierTypeStateIssuer
0738750001OtherCADMERC MEDICARE
000E38780MedicaidCA
480014561OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090126000209 CA Practitioner - Podiatry 3173687803 Reassigns benefits to 1 organization
Practice locations: Bishop, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toiyabe Indian Health Project Inc 21 clinicians

Practice addresses (Care Compare)

250 N See Vee LN
Bishop, CA 93514-8130
Phone (760) 873-8464

407 W Line St
Suite 7
Bishop, CA 93514-3321
Phone (760) 872-1636

Hospital & facility affiliations

  • Northern Inyo Hospital Hospital, Bishop, CA, CCN 051324

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue236
Removal or shaving of skin growth48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9503NVMDNeurology Physician
E3878CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Inyo Healthcare District Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: andrew.hewchuck.p1@direct.toiyabe.nextgenshare.com

Organizations & group practices 4

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 1

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1003979931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W LINE ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143413",
            "telephone_number": "760-872-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W LINE ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143413",
            "telephone_number": "760-872-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWCHUCK",
        "first_name": "ANDREW",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3878",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "9503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC MEDICARE",
            "identifier": "0738750001",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E38780",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480014561",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bishop, CA

Sources for this page

Verify at the official NPI Registry.