Individual provider Active NPI

Derek Alan Pawich, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • West Palm Beach, FL
National Provider Identifier
1184076069
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4088 Issued in FL
Practice address
2326 S Congress Ave Ste 1a
West Palm Beach, FL 33406-7652
Phone
(561) 433-5577
Fax
(561) 275-2696
NPI assigned
Jul 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006746 PA
Foot & Ankle Surgery Podiatrist 213ES0103X PO4088 FL Primary

Addresses

Primary practice location

2326 S Congress Ave Ste 1a
West Palm Beach, FL 33406-7652

Mailing address

2326 S Congress Ave Ste 1a
West Palm Beach, FL 33406-7652
Phone (561) 433-5577

Other practice location 1

13005 Southern Blvd Ste 111
Loxahatchee, FL 33470-9231
Phone (561) 275-2696

Other practice location 2

10151 Enterprise Ctr Ste 205
Boynton Beach, FL 33437-3761
Phone (561) 433-5577

Other practice location 3

925 S State Road 7
Wellington, FL 33414-6300
Phone (561) 433-5577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190829003278 FL Practitioner - Podiatry 1254669187 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Medical Associates, LLCGroup PAC ID 3678668076, 17 clinicians

Practice addresses (Care Compare)

13005 Southern Blvd
Loxahatchee, FL 33470-9231
Phone (561) 433-5577

Hospital & facility affiliations

  • USA Home Health Services, Inc. Home health agency, Delray Beach, FL, CCN 107785
  • Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275
  • St Mary'S Medical Center Hospital, West Palm Beach, FL, CCN 100288

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue226
Removal of skin lesions1-10
Removal of nail tissue52
Removal or shaving of skin growth26
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006746PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
La Medical Associates, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2023 Accepting new patients
Timothy C. Runyon, D.P.M. P.a. Foot & Ankle Surgery CurrentSince Oct 6, 2020 Accepting new patients
Timothy C. Runyon, DPM, PA Foot & Ankle Surgery CurrentSince Oct 6, 2020 Accepting new patients
Certified Foot & Ankle Specialists Foot & Ankle Surgery CurrentSince Jan 1, 2021 Accepting new patients
Certified Foot & Ankle Specialists Foot & Ankle Surgery CurrentSince Jan 1, 2021 Accepting new patients
Your Good Health Medical Group PA PastSince Feb 1, 2006 Accepting new patients

Locations

7730 W Boynton Beach Blvd
Ste 7
Boynton Beach, FL 33437
Phone (561) 369-2199

10151 Entrprs Cntr Blvd
Ste 205
Boynton Beach, FL 33437
Phone (561) 277-5394

1003 Del Prado Blvd S
Ste 303
Cape Coral, FL 33990
Phone (239) 689-3843

923 Del Prado Blvd S
Ste 202
Cape Coral, FL 33990
Phone (239) 236-2611

817 Coral Ridge Dr
Coral Springs, FL 33071
Phone (954) 753-3030

4750 N Federal Hwy
Ste 200
Ft Lauderdale, FL 33308
Phone (954) 561-3338

201 W Indiantown Rd
Jupiter, FL 33458

13005 State Road 80
Ste 111
Loxahatchee, FL 33470
Phone (561) 798-2002

11000 Prosperity Farms Rd
Ste 206
Palm Beach Gardens, FL 33410
Phone (561) 622-4646

1401 16th St N
St Petersburg, FL 33704
Phone (727) 894-0794

925 S State Road 7
Wellington, FL 33414

2326 S Congress Ave
Ste 1A
West Palm Beach, FL 33406
Phone (561) 271-3024

5405 Okeechobee Blvd
Ste 100
West Palm Beach, FL 33417
Phone (561) 420-8492

Interoperability endpoints

  • Direct secure messaging: derek.pawich.1@28764.direct.athenahealth.com

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.

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": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1184076069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 S CONGRESS AVE STE 1A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067652",
            "telephone_number": "561-433-5577",
            "fax_number": "561-275-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 S CONGRESS AVE STE 1A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067652",
            "telephone_number": "561-433-5577",
            "fax_number": "561-275-2696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13005 Southern Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Loxahatchee",
            "state": "FL",
            "postal_code": "334709231",
            "country_code": "US",
            "telephone_number": "561-275-2696",
            "fax_number": "561-275-2696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10151 Enterprise Ctr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373761",
            "country_code": "US",
            "telephone_number": "561-433-5577",
            "fax_number": "561-275-2696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 S State Road 7",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146300",
            "country_code": "US",
            "telephone_number": "561-433-5577",
            "fax_number": "561-275-2696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAWICH",
        "first_name": "DEREK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006746",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.