Individual provider Active NPI

Steven Schutzbank, DPM

  • Primary Podiatric Medicine Podiatrist
  • Phila, PA
National Provider Identifier
1033168380
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
00SC2101L Issued in PA
Practice address
7341 Brookhaven Rd
Phila, PA 19151-2206
Phone
(215) 473-1070
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 00SC2101L PA Primary

Addresses

Primary practice location

7341 Brookhaven Rd
Phila, PA 19151-2206

Mailing address

18 Barbara LN
Havertown, PA 19083-1213
Phone (215) 473-1070

Other identifiers 2

IdentifierTypeStateIssuer
00540077MedicaidPA
094624OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 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
I20031204000034 PA Practitioner - Podiatry 7911802889 Practice locations: Philadelphia, PA
O20100930099948 PA DME Supplier - Physician - Podiatry 7810015609 Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7341 Brookhaven Rd
Philadelphia, PA 19151-2206
Phone (215) 473-1070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue75
Removal of nail tissue1077
Removal or shaving of skin growth696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00SC2101LPAMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
US Professional Consultants LTD PC Primary Podiatric Medicine Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1033168380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BARBARA LN",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190831213",
            "telephone_number": "215-473-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7341 BROOKHAVEN RD",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191512206",
            "telephone_number": "215-473-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTZBANK",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "00SC2101L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00540077",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "094624",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.