Active NPI
Andrew Hewchuck, D.P.M.
- Podiatrist
- Bishop, CA
National Provider Identifier
1003979931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 9503
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0738750001 | Other | CA | DMERC MEDICARE |
| 000E38780 | Medicaid | CA | |
| 480014561 | Other | CA | RAILROAD 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 236 |
| Removal or shaving of skin growth | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9503 | NV | MD | Neurology Physician |
| E3878 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Inyo Healthcare District | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Federally Qualified Health Center (FQHC)
- Bishop, CA
- NPI 1659433191
CA
-
- Clinic Pharmacy
- Bishop, CA
- NPI 1093720609
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bishop, CA
- NPI 1447374012
-
- Critical Access Hospital
- Bishop, CA
- NPI 1922198712
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.