Individual provider Active NPI

Thomas William Wolff, DPM

  • Podiatrist
  • Placerville, CA
National Provider Identifier
1255491791
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3595 Issued in CA
Practice address
5168 Honpie Rd
Placerville, CA 95667-8635
Phone
(530) 621-3163
Fax
(916) 351-5674
NPI assigned
Dec 12, 2006
Last updated
Mar 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3595 CA Primary

Addresses

Primary practice location

5168 Honpie Rd
Placerville, CA 95667-8635

Mailing address

5168 Honpie Rd
Placerville, CA 95667-8635
Phone (530) 621-3163

Other identifiers 1

IdentifierTypeStateIssuer
000E35950MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050331001261 CA Practitioner - Podiatry 6901853050 Reassigns benefits to 1 organization
Practice locations: Folsom, CA; Placerville, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shingle Springs Rancheria CurrentSince Nov 1, 1997 Accepting new patients
Wolff and Wolff Podiatrist Past Accepting new patients
El Dorado County Community Health Center Past Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc Past Accepting new patients
Gold Country Health Center Past Accepting new patients
Marshall Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: thomas.wolff@edchc.eclinicaldirectplus.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, 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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1255491791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5168 HONPIE RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678635",
            "telephone_number": "530-621-3163",
            "fax_number": "916-351-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5168 HONPIE RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678635",
            "telephone_number": "530-621-3163",
            "fax_number": "916-351-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E35950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

Verify at the official NPI Registry.