Individual provider Active NPI

Eugene M Smolens, D.P.M.

  • Podiatrist
  • Wayne, PA
National Provider Identifier
1013904556
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001841L Issued in PA
Practice address
237 N Aberdeen Ave
Wayne, PA 19087-3537
Phone
(610) 293-9383
NPI assigned
Sep 30, 2005
Last updated
Feb 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC001841L PA Primary
Podiatrist 213E00000X E1-0000141 DE

Addresses

Primary practice location

237 N Aberdeen Ave
Wayne, PA 19087-3537

Mailing address

237 N Aberdeen Ave
Wayne, PA 19087-3537
Phone (610) 293-9383

Other identifiers 3

IdentifierTypeStateIssuer
441480677OtherRAILROAD MEDICARE
0005036360002MedicaidPA
1000021622MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 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
I20040907000058 PA Practitioner - Podiatry 8022907344 Reassigns benefits to 1 organization
I20111216000344 DE Practitioner - Podiatry 8022907344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifecare Podiatry, P.C.Group PAC ID 1951290279, 8 clinicians

Practice addresses (Care Compare)

1225 Walker Rd
Dover, DE 19904-6541
Phone (610) 293-9383

237 N Aberdeen Ave
Wayne, PA 19087-3537
Phone (610) 293-9383

Merit-based Incentive Payment System (MIPS)

Final score
94.08 of 100Reported as group
Quality
73.79
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue325
Removal or shaving of skin growth56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Podiatry, P.C. Podiatrist CurrentSince Feb 1, 1991 Accepting new patients

Locations

1225 Walker Rd
Dover, DE 19904
Phone (302) 734-1199

3034 S DuPont Blvd
Smyrna, DE 19977
Phone (302) 653-5082

4001 Ford Rd
Philadelphia, PA 19131
Phone (215) 877-5400

237 N Aberdeen Ave
Wayne, PA 19087
Phone (215) 641-5300

237 N Aberdeen Ave
#1
Wayne, PA 19087

425 Buttonwood St
West Reading, PA 19611
Phone (610) 373-5166

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12226/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Temple University Hospital, IncPhiladelphia, PA, CCN 390027 Hospital Corporate Director Feb 1, 2020
Temple University Hospital, IncPhiladelphia, PA, CCN 39S027 Hospital Corporate Director Jan 14, 2004

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1013904556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 N ABERDEEN AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873537",
            "telephone_number": "610-293-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 N ABERDEEN AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873537",
            "telephone_number": "610-293-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLENS",
        "first_name": "EUGENE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001841L",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "E1-0000141",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "441480677",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005036360002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000021622",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.