Individual provider Active NPI

Joseph L. Porto, DPM

  • Podiatrist
  • Drexel Hill, PA
National Provider Identifier
1104829944
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001861L Issued in PA
Practice address
3601 State Rd
Drexel Hill, PA 19026-2525
Phone
(610) 789-3600
Fax
(610) 789-6604
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC001861L PA Primary

Addresses

Primary practice location

3601 State Rd
Drexel Hill, PA 19026-2525

Mailing address

3601 State Rd
Drexel Hill, PA 19026-2525
Phone (610) 789-3600

Other identifiers 3

IdentifierTypeStateIssuer
480000786OtherPARAILROAD
000507706MedicaidPA
0032740000OtherPAKEYSTONE HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100527000659 PA Practitioner - Podiatry 6103955273 Practice locations: Drexel Hill, PA; Media, PA; Springfield, PA
O20110106001009 PA DME Supplier - Physician - Podiatry 6709075757 Practice locations: Drexel Hill, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3601 State Rd
Drexel Hill, PA 19026-2525
Phone (610) 789-3600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue289
Removal or shaving of skin growth180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Krol Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1104829944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 STATE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190262525",
            "telephone_number": "610-789-3600",
            "fax_number": "610-789-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 STATE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190262525",
            "telephone_number": "610-789-3600",
            "fax_number": "610-789-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTO",
        "first_name": "JOSEPH",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001861L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "480000786",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000507706",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HMO",
            "identifier": "0032740000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

Verify at the official NPI Registry.