Individual provider Active NPI

Maryann P Hartzell, DPM

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
National Provider Identifier
1265439814
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC0036191 Issued in PA
Practice address
148 N 8TH St
Philadelphia, PA 19107-2418
Phone
(215) 777-5808
Fax
(215) 777-5825
NPI assigned
Jun 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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 SC0036191 PA Primary

Addresses

Primary practice location

148 N 8TH St
Philadelphia, PA 19107-2418

Mailing address

PO Box 22433
New York, NY 10087-2433
Phone (215) 777-5801

Other identifiers 2

IdentifierTypeStateIssuer
710559OtherPAHIGHMARK
50040438OtherPACAPTIAL BLUE CROSS

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
I20040609000764 PA Practitioner - Podiatry 8123001302 Reassigns benefits to 3 organizations
Practice locations: Allentown, PA; Bethlehem, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

148 N 8TH St
Philadelphia, PA 19107-2418
Phone (215) 777-5808

3223 N Broad St
Philadelphia, PA 19140-5007
Phone (215) 707-2900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue98
Removal or shaving of skin growth60
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC0036191PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Feb 4, 2022 Accepting new patients
Temple University of the Commonwealth System of Higher Education Foot & Ankle Surgery CurrentSince Oct 11, 2023 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Temple University of the Commonwealth System of Higher Education CurrentSince Oct 11, 2023 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 1, 2015 Accepting new patients
Star Community Health, Inc CurrentSince Feb 4, 2022 Accepting new patients
Certified Wound Care Specialists LLC CurrentSince Jun 4, 2015 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 1, 2015 Accepting new patients
St. Luke'S Hospital Past Accepting new patients
Allentown Family Foot Care Professional Corporation PastSince Jul 8, 2002 Accepting new patients
St. Luke'S Hospital Past Accepting new patients

Locations

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

450 Chew St
#101
Allentown, PA 18102
Phone (610) 776-4888

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

511 E 3rd St
Ste 200
Bethlehem, PA 18015
Phone (484) 526-4700

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

148 N 8th St
Philadelphia, PA 19107
Phone (215) 238-6600

3223 N Broad St
Ste 150
Philadelphia, PA 19140
Phone (215) 777-5713

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8jbgxuNWdtuelGLFHIXdkqcQh-JLjFrK/

Organizations & group practices 11

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1265439814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22433",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872433",
            "telephone_number": "215-777-5801",
            "fax_number": "215-777-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 N 8TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072418",
            "telephone_number": "215-777-5808",
            "fax_number": "215-777-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZELL",
        "first_name": "MARYANN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC0036191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "710559",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPTIAL BLUE CROSS",
            "identifier": "50040438",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.