Organization Active NPI

Foot and Ankle Center Inc

  • Foot & Ankle Surgery Podiatrist
  • Bensalem, PA
National Provider Identifier
1043727308
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006297 Issued in PA
Legal business name
FOOT AND ANKLE CENTER INC
Practice address
2222 Bristol Pike
Bensalem, PA 19020-5210
Phone
(215) 638-3338
Fax
(215) 638-3030
NPI assigned
Jan 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Dr. Bindu Mathew, DPMNPI 1891078481
Title
President
Phone
(215) 638-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X SC006297 PA Primary

Addresses

Primary practice location

2222 Bristol Pike
Bensalem, PA 19020-5210

Mailing address

2222 Bristol Pike
Bensalem, PA 19020-5210
Phone (215) 638-3338

Other identifiers 1

IdentifierTypeStateIssuer
1029278740001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180315000430 PA Part B Supplier - Clinic/Group Practice 4284996026 Receives reassigned benefits from 3 practitioners
Practice locations: Bensalem, PA
O20180521000407 PA DME Supplier - Physician - Podiatry 4284996026 Practice locations: Bensalem, PA

National Provider Directory

National Provider Directory

Locations

2222 Bristol Pike
Fl 1
Bensalem, PA 19020
Phone (215) 638-3338

2222 Bristol Pike
#1
Bensalem, PA 19020

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1043727308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 BRISTOL PIKE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205210",
            "telephone_number": "215-638-3338",
            "fax_number": "215-638-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 BRISTOL PIKE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205210",
            "telephone_number": "215-638-3338",
            "fax_number": "215-638-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "BINDU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-638-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029278740001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.