Individual provider Active NPI

John Michael Snyder, DPM

  • Podiatrist
  • Betnel-Park, PA
National Provider Identifier
1023067121
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003898L Issued in PA
Practice address
5841 Library Rd
Betnel-Park, PA 15102
Phone
(412) 831-1515
Fax
(412) 831-2115
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC003898L PA Primary

Addresses

Primary practice location

5841 Library Rd
Betnel-Park, PA 15102

Mailing address

5841 Library Rd
Betnel-Park, PA 15102
Phone (412) 831-1515

Other identifiers 1

IdentifierTypeStateIssuer
001480468MedicaidPA

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
I20091229000253 PA Practitioner - Podiatry 8325042468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academy of Podiatry, IncGroup PAC ID 9830160530, 5 clinicians

Practice addresses (Care Compare)

5841 Library Rd
Bethel Park, PA 15102-3333
Phone (412) 831-1515

Merit-based Incentive Payment System (MIPS)

Final score
28.63 of 100Reported as individual
Quality
50
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions192
Removal of nail tissue4496
Removal or shaving of skin growth3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC003898LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Academy of Podiatry Podiatrist CurrentSince Jul 13, 1994 Accepting new patients
Academy of Podiatry, Inc Podiatrist CurrentSince Jul 13, 1994 Accepting new patients

Locations

5841 Library Rd
#M
Bethel Park, PA 15102
Phone (412) 831-1515

5841 Library Rd
Bethel Park, PA 15102
Phone (412) 831-1515

Interoperability endpoints

  • Direct secure messaging: jsnyder@academyofpodiatry.medentdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1023067121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 LIBRARY RD",
            "city": "BETNEL-PARK",
            "state": "PA",
            "postal_code": "15102",
            "telephone_number": "412-831-1515",
            "fax_number": "412-831-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 LIBRARY RD",
            "city": "BETNEL-PARK",
            "state": "PA",
            "postal_code": "15102",
            "telephone_number": "412-831-1515",
            "fax_number": "412-831-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003898L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001480468",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.