Individual provider Active NPI

Brian Joseph Schneekloth, DPM

  • Foot & Ankle Surgery Podiatrist
  • La Quinta, CA
National Provider Identifier
1023458692
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006497 Issued in PA
Practice address
79200 Corporate Center Dr Ste 104
La Quinta, CA 92253-7245
Phone
(760) 565-5545
Fax
(760) 424-5578
NPI assigned
Jun 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006497 PA Primary

Addresses

Primary practice location

79200 Corporate Center Dr Ste 104
La Quinta, CA 92253-7245

Mailing address

79405 Highway 111 Ste 9-469
La Quinta, CA 92253-8300
Phone (920) 213-4923

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
I20220406000342 PA Practitioner - Podiatry 2769756618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Foot Care Associates, LLCGroup PAC ID 1052359288, 4 clinicians

Practice addresses (Care Compare)

104 Technology Dr
Suite 103
Butler, PA 16001-1801
Phone (724) 482-4192

Hospital & facility affiliations

  • Visiting Nurses Association Western PA Home health agency, Butler, PA, CCN 397094
  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168
  • Independence Health System Clarion Hospital Hospital, Clarion, PA, CCN 390093

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue354
Removal of skin lesions1-10
Removal of nail tissue461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006497PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot Care Associates LLC Foot & Ankle Surgery CurrentSince May 1, 2022 Accepting new patients
Exodus Surgical Center LLC PastSince Jul 24, 2022 Accepting new patients

Locations

102 Technology Dr
Ste 200
Butler, PA 16001
Phone (724) 283-7177

104 Technology Dr
Ste 103
Butler, PA 16001
Phone (724) 284-4192

Interoperability endpoints

  • Direct secure messaging: familyfootcare-smaldino-perschke-rouse@ffc.ssdirect.aprima.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.

Hospital & facility affiliations 6

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023458692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79405 HIGHWAY 111 STE 9-469",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538300",
            "telephone_number": "920-213-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79200 CORPORATE CENTER DR STE 104",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537245",
            "telephone_number": "760-565-5545",
            "fax_number": "760-424-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEEKLOTH",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

Verify at the official NPI Registry.