Individual provider Active NPI

Jeffrey I Wachtel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Montgomeryville, PA
National Provider Identifier
1235188913
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC001361L Issued in PA
Practice address
587 Bethlehem Pike Ste 800-900
Montgomeryville, PA 18936-9741
Phone
(215) 368-5319
Fax
(215) 368-0672
NPI assigned
May 9, 2006
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC001361L PA Primary

Addresses

Primary practice location

587 Bethlehem Pike Ste 800-900
Montgomeryville, PA 18936-9741

Mailing address

587 Bethlehem Pike Ste 800-900
Montgomeryville, PA 18936-9741
Phone (215) 368-5319

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
I20110224000299 PA Practitioner - Podiatry 7810010188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1966
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2032 N Broad St
Landsdale, PA 19446-1051
Phone (215) 368-5319

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue83
Removal of skin lesions1-10
Removal of nail tissue44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wachtel Podiatry Group, LLC Foot & Ankle Surgery CurrentSince Sep 28, 2010 Accepting new patients

Locations

2032 N Broad St
Lansdale, PA 19446
Phone (215) 257-6315

2032 N Broad St
Ste 4
Lansdale, PA 19446
Phone (215) 368-5319

587 Bethlehem Pike
Ste 800900
Montgomeryville, PA 18936
Phone (215) 368-5319

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1235188913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 BETHLEHEM PIKE STE 800-900",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369741",
            "telephone_number": "215-368-5319",
            "fax_number": "215-368-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 BETHLEHEM PIKE STE 800-900",
            "city": "MONTGOMERYVILLE",
            "state": "PA",
            "postal_code": "189369741",
            "telephone_number": "215-368-5319",
            "fax_number": "215-368-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTEL",
        "first_name": "JEFFREY",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC001361L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomeryville, PA

Sources for this page

Verify at the official NPI Registry.