NPIMap

Individual provider Active NPI

Thomas B Birdwell, DPM

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
National Provider Identifier
1063949576
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006865 Issued in PA
Practice address
148 N 8TH St
Philadelphia, PA 19107-2418
Phone
(215) 777-5808
Fax
(215) 777-5825
NPI assigned
May 15, 2017
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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 SC006865 PA Primary

Addresses

Primary practice location

148 N 8TH St
Philadelphia, PA 19107-2418

Mailing address

148 N 8TH St
Philadelphia, PA 19107-2418
Phone (215) 777-5808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210521000482 PA Practitioner - Podiatry 2365841442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3223 N Broad St
Suite 150
Philadelphia, PA 19140-5007
Phone (215) 777-5808

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue13
Removal of skin lesions1-10
Removal of nail tissue65
Removal or shaving of skin growth16
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006865PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Temple University of the Commonwealth System of Higher Education Foot & Ankle Surgery CurrentSince Nov 1, 2023 Accepting new patients
Temple University of the Commonwealth System of Higher Education CurrentSince Nov 1, 2023 Accepting new patients
Temple University of the Commonwealth System of Higher Education Past Accepting new patients

Locations

148 N 8th St
Philadelphia, PA 19107
Phone (215) 238-6600

3223 N Broad St
Ste 150
Philadelphia, PA 19140
Phone (215) 777-5713

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1063949576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 N 8TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072418",
            "telephone_number": "215-777-5808",
            "fax_number": "215-777-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 N 8TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072418",
            "telephone_number": "215-777-5808",
            "fax_number": "215-777-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDWELL",
        "first_name": "THOMAS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.