Individual provider Active NPI

Michael David Walinsky, D.P.M.

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1235134974
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003167L Issued in PA
Practice address
4715 Pine St
Philadelphia, PA 19143-1831
Phone
(215) 471-0433
Fax
(215) 471-0430
NPI assigned
Jun 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 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 SC003167L PA Primary

Addresses

Primary practice location

4715 Pine St
Philadelphia, PA 19143-1831

Mailing address

726 Yale Rd
Bala Cynwyd, PA 19004-2116
Phone (610) 667-4368

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060721000017 PA Practitioner - Podiatry 7517970304 Reassigns benefits to 1 organization
Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kimberly Nguyen DPM PCGroup PAC ID 0547696544, 2 clinicians

Practice addresses (Care Compare)

1311 S St
Philadelphia, PA 19147-1867
Phone (215) 471-0433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Nguyen DPM PC Podiatrist CurrentSince Sep 24, 2025 Accepting new patients
US Professional Consultants LTD PC Podiatrist Past Accepting new patients
Michael D Walinsky, DPM Podiatrist Past Accepting new patients

Locations

29 Bala Ave
Ste 114
Bala Cynwyd, PA 19004
Phone (484) 278-4308

Interoperability endpoints

  • Direct secure messaging: michael.walinsky.2@13539.direct.athenahealth.com

Organizations & group practices 3

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": "1119052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1235134974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 YALE RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042116",
            "telephone_number": "610-667-4368",
            "fax_number": "610-645-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431831",
            "telephone_number": "215-471-0433",
            "fax_number": "215-471-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALINSKY",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-18",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003167L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.