Wade Tyler Chimerofsky, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5884 Issued in CA

Practice address

425 Haaland Dr Ste 201
Thousand Oaks, CA 91361-5231

Phone

(805) 496-2383

NPI assigned

Jun 30, 2018

Last updated

Mar 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Home Foot Care IncGroup PAC ID 4981744257, 25 clinicians

Wound Center IncGroup PAC ID 3870030141, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aka Home Health Inc. Home health agency, Van Nuys, CA, CCN 757867
• Warmcare Home Health, Inc Home health agency, Canoga Park, CA, CCN 559380
• Sherman Oaks Hospital Hospital, Sherman Oaks, CA, CCN 050755
• Encino Hospital Medical Center Hospital, Encino, CA, CCN 050158
• Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: wade.chimerofsky@xdr.hhchealthdirect.org

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.

• Home Foot Care, Inc.

  • Podiatrist
  • Van Nuys, CA
  • NPI 1447480785
  Medicare reassignment Care Compare group NPD
• Wound Center Inc

  • Plastic and Reconstructive Surgery Physician
  • Beverly Hills, CA
  • NPI 1174362818

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Wound Institute of America

  • Plastic Surgery Physician
  • Beverly Hills, CA
  • NPI 1437505393
  Medicare reassignment NPD
• Agoura-Los Robles Podiatry Centers

  • Foot & Ankle Surgery Podiatrist
  • Thousand Oaks, CA
  • NPI 1932386877
  NPD
• Michael D. Kotzen, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Valley Village, CA
  • NPI 1013105972
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aka Home Health Inc

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1306576343
  Care Compare affiliation
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  Care Compare affiliation
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • West Hollywood, CA
  • NPI 1891940326
  Care Compare affiliation
• Prime Healthcare Services - Sherman Oaks, LLC

  dba Sherman Oaks Hospital

  • General Acute Care Hospital
  • Sherman Oaks, CA
  • NPI 1750491247
  Care Compare affiliation
• Prime Healthcare Services Encino LLC

  dba Encino Hospital Medical Center

  • General Acute Care Hospital
  • Encino, CA
  • NPI 1437322377
  Care Compare affiliation
• Warmcare Home Health, Inc.

  • Home Health Agency
  • Canoga Park, CA
  • NPI 1215410154
  Care Compare affiliation

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

{
    "created_epoch": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1174018287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR STE 201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615231",
            "telephone_number": "805-496-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR STE 201",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615231",
            "telephone_number": "805-496-2383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Campbell Ave",
            "address_purpose": "LOCATION",
            "city": "West Haven",
            "state": "CT",
            "postal_code": "065162770",
            "country_code": "US",
            "telephone_number": "630-818-6150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 York St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "06510",
            "country_code": "US",
            "telephone_number": "203-688-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIMEROFSKY",
        "first_name": "WADE",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-30",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "5884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.