Individual provider Active NPI

Michael Scott Downey, DPM

  • Primary Podiatric Medicine Podiatrist
  • Philadelphia, PA
National Provider Identifier
1073502076
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
SC002981L Issued in PA
Practice address
3801 Market St
Mab # 111
Philadelphia, PA 19104-3153
Phone
(215) 662-9563
Fax
(215) 243-8818
NPI assigned
Oct 21, 2005
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X SC002981L PA Primary
Radiology Podiatrist 213ER0200X SC002981L PA
Foot & Ankle Surgery Podiatrist 213ES0103X SC002981L PA

Addresses

Primary practice location

3801 Market St
Mab # 111
Philadelphia, PA 19104-3153

Mailing address

3801 Market St
Mab # 111
Philadelphia, PA 19104-3153
Phone (215) 662-9563

Other practice location 1

5000 Dearborn Cir Ste 100B
Mount Laurel, NJ 08054-4108
Phone (215) 662-9563

Other identifiers 1

IdentifierTypeStateIssuer
0010546500005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100914001194 PA Practitioner - Podiatry 0547385544 Reassigns benefits to 2 organizations
I20201201000009 NJ Practitioner - PodiatryPractitioner - General Surgery 0547385544 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC002981LPAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Jul 16, 2021 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Oct 13, 2020 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Primary Podiatric Medicine CurrentSince Oct 13, 2020 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Oct 13, 2020 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 16, 2021 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5000 Dearborn Cir
Ste 100B
Mount Laurel, NJ 08054
Phone (215) 662-9563

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

3801 Market St
Ste 111
Philadelphia, PA 19104
Phone (215) 662-9563

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1073502076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MARKET ST",
            "address_2": "MAB # 111",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043153",
            "telephone_number": "215-662-9563",
            "fax_number": "215-243-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MARKET ST",
            "address_2": "MAB # 111",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043153",
            "telephone_number": "215-662-9563",
            "fax_number": "215-243-8818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Dearborn Cir Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080544108",
            "country_code": "US",
            "telephone_number": "215-662-9563",
            "fax_number": "215-243-4604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOWNEY",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC002981L",
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "PA",
            "license": "SC002981L",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC002981L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010546500005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.