Glen R Wilensky, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

VA 0103000938 Issued in VA

Practice address

7406 Brook Rd
Richmond, VA 23227-1817

Phone

(804) 262-7153

Fax

(804) 262-0104

NPI assigned

Jun 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Podiatry Center PCGroup PAC ID 5395701726, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Podiatry Center PC

  • Foot & Ankle Surgery Podiatrist
  • Richmond, VA
  • NPI 1316134083
  Medicare reassignment Care Compare group NPD Authorized official
• Foot Center Inc

  • Podiatrist
  • Richmond, VA
  • NPI 1336270735
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1073519682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7406 BROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271817",
            "telephone_number": "804-262-7153",
            "fax_number": "804-262-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 BROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271817",
            "telephone_number": "804-262-7153",
            "fax_number": "804-262-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILENSKY",
        "first_name": "GLEN",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "VA 0103000938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01021914",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "172333",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie M Wilcox, LCSW
• Michael R Wild, D.C.
• Kathryn Pamela Wilder Schaaf, PHD
• Anna Wilder, PA-C
• Tamara M Wildgoose, PHD
• Hillary Wiles-Lafayette
• Anita M Wiles, LCSW, COTP
• Laura Kaitlin Wiles, DPT
• Veronica Leigh Wiles, OT/L
• Wiley J Latham MD and Bernice G Latham MD Partners

• Podiatrist in Richmond, VA
• Providers in Richmond, VA by specialty
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.