Active NPI
Brittany Portonova, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Hazle Township, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC006405
- Practice address
- 50 Moisey Dr Ste 204
Hazle Township, PA 18202-9297 - Phone
- (570) 501-6730
- NPI assigned
- Jul 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006405 | PA | Primary |
Addresses
Primary practice location
50 Moisey Dr Ste 204
Hazle Township, PA 18202-9297
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103013382-0001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888
2100 Mack Blvd
FL 4
Allentown, PA 18103-5622
700 E Broad St
LVPG Emergency Medicine
Hazleton, PA 18201-6835
Phone (570) 501-4193
Hospital & facility affiliations
- Maylath Valley Health Systems, Inc.
- Lehigh Valley Home Care Hazleton
- Lehigh Valley Hospital - Hazleton
- Lehigh Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.5 of 100
- Quality
- 66.14
- Promoting interoperability
- 85
- Improvement activities
- 40
- Cost
- 74.44
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 35 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC006405 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Hazleton Professional Services | Current | Accepting new patients |
Locations
2100 Mack Blvd
Fl 4
Allentown, PA 18103
50 Moisey Dr
Ste 202
Hazle Township, PA 18202
Phone (570) 501-6730
50 Moisey Dr
Ste 204
Hazle Township, PA 18202
Phone (570) 501-6730
50 Moisey Dr
Ste 109
Hazle Township, PA 18202
Phone (570) 501-6460
50 Moisey Dr
Ste 210
Hazle Township, PA 18202
Phone (570) 501-6380
1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450
26 Station Cir
Hazleton, PA 18202
Phone (570) 861-8710
700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000
237 S Mountain Blvd
Ste 7
Mountain Top, PA 18707
Phone (570) 261-5000
Organizations & group practices 6
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.
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- NPI 1780155689
-
- Internal Medicine Physician
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- NPI 1952464638
-
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Cardiovascular Disease Physician
- Bethlehem, PA
- NPI 1336423565
-
- Transplant Surgery Physician
- Allentown, PA
- NPI 1457309650
-
- General Practice Physician
- Hazleton, PA
- NPI 1942609599
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
-
- General Acute Care Hospital
- Hazleton, PA
- NPI 1548322720
-
- Home Health Agency
- Hazleton, PA
- NPI 1972667343
-
- Home Health Agency
- Sybertsville, PA
- NPI 1396778585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1124373246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783311",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191783311",
"telephone_number": "484-884-4500",
"fax_number": "484-884-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MOISEY DR STE 204",
"city": "HAZLE TOWNSHIP",
"state": "PA",
"postal_code": "182029297",
"telephone_number": "570-501-6730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTONOVA",
"first_name": "BRITTANY",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-15",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC006405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103013382-0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazle Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.