Individual provider Active NPI

Anthony Charles Sottile, DPM

  • Podiatrist
  • Columbia, PA
National Provider Identifier
1053304360
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002502L Issued in PA
Practice address
627 Walnut St
Columbia, PA 17512-1220
Phone
(717) 684-2648
Fax
(717) 684-7989
NPI assigned
Aug 23, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC002502L PA Primary

Addresses

Primary practice location

627 Walnut St
Columbia, PA 17512-1220

Mailing address

627 Walnut St
Columbia, PA 17512-1220
Phone (717) 684-2648

Other identifiers 3

IdentifierTypeStateIssuer
992157OtherKEYSTONE
12491OtherH/AM/H/ASSUR
01541001OtherBL/CR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053304360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 WALNUT ST",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175121220",
            "telephone_number": "717-684-2648",
            "fax_number": "717-684-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 WALNUT ST",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175121220",
            "telephone_number": "717-684-2648",
            "fax_number": "717-684-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTTILE",
        "first_name": "ANTHONY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002502L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "992157",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "H/AM/H/ASSUR",
            "identifier": "12491",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BL/CR",
            "identifier": "01541001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.