Active NPI
Paul Frank Kisilewicz, DPM
- Foot Surgery Podiatrist
- Sacramento, CA
National Provider Identifier
1154531697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- E3739
- Practice address
- 7237 E Southgate Dr Ste B
7237 East Southgate Drive Suite B
Sacramento, CA 95823-2637 - Phone
- (916) 392-3330
- Fax
- (916) 392-6622
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 Surgery Podiatrist | 213ES0131X | E3739 | CA | Primary |
Addresses
Primary practice location
7237 E Southgate Dr Ste B
7237 East Southgate Drive Suite B
Sacramento, CA 95823-2637
Mailing address
2382 Loch Way
El Dorado Hills, CA 95762
Phone (916) 933-6869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3739 | CA | MD | Foot Surgery Podiatrist |
| 3739 | CA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1154531697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2382 LOCH WAY",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "95762",
"telephone_number": "916-933-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7237 E SOUTHGATE DR STE B",
"address_2": "7237 EAST SOUTHGATE DRIVE SUITE B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232637",
"telephone_number": "916-392-3330",
"fax_number": "916-392-6622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISILEWICZ",
"first_name": "PAUL",
"middle_name": "FRANK",
"name_prefix": "Mr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "CA",
"license": "E3739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
- Sarah Gleberman Kirshner, MD
- Kirsten Leitner, Licensed Marriage & Family Therapist, a Prof. Corp.
- Kirsten McWilliams Doctor of Audiology Inc.
- Kelly Lynn Kirsten, M.S., C.G.C.
- Shamit Kishore
- Wendy Leigh Kissi, SLPA
- David P. Kissinger, MD
- Lauren Elizabeth Kissinger, MD
- Michelle Marie Kissinger
- Suzanne Kisting-Leung, RN, IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.