Individual provider Active NPI

Philip J Morreale, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cedar Falls, IA
National Provider Identifier
1104810928
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00423 Issued in IA
Practice address
4508 Chadwick Rd
Cedar Falls, IA 50613-7958
Phone
(319) 277-4508
Fax
(319) 277-8908
NPI assigned
Sep 8, 2005
Last updated
Jun 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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 00423 IA Primary

Addresses

Primary practice location

4508 Chadwick Rd
Cedar Falls, IA 50613-7958

Mailing address

4508 Chadwick Rd
Cedar Falls, IA 50613-7958
Phone (319) 277-4508

Other identifiers 1

IdentifierTypeStateIssuer
0217109MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20061211000546 IA Practitioner - Podiatry 8022017532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Valley Podiatry PCGroup PAC ID 4880586288, 4 clinicians

Practice addresses (Care Compare)

4508 Chadwick Rd
Cedar Falls, IA 50613-7958
Phone (319) 277-4508

909 W 1St St
Sumner, IA 50674-1203
Phone (563) 578-8276

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
35
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue62
Removal of skin lesions36
Removal of nail tissue1252
Removal or shaving of skin growth458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Valley Podiatry PC CurrentSince Jul 24, 1984 Accepting new patients
Cedar Valley Podiatry, PC Foot & Ankle Surgery CurrentSince Jul 24, 1984 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

4508 Chadwick Rd
Cedar Falls, IA 50613
Phone (319) 234-5110

Interoperability endpoints

  • Direct secure messaging: pmorreale3935090@direct.trinity-health.org

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 3

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1104810928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 CHADWICK RD",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506137958",
            "telephone_number": "319-277-4508",
            "fax_number": "319-277-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 CHADWICK RD",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506137958",
            "telephone_number": "319-277-4508",
            "fax_number": "319-277-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORREALE",
        "first_name": "PHILIP",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "00423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217109",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

Verify at the official NPI Registry.