Individual provider Active NPI

Walter Wolf, DPM

  • Podiatrist
  • South Hadley, MA
National Provider Identifier
1265493183
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1780 Issued in MA
Practice address
81 Willimansett St
South Hadley, MA 01075-3000
Phone
(413) 536-0912
Fax
(413) 538-6760
NPI assigned
Mar 30, 2006
Last updated
Apr 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1780 MA Primary

Addresses

Primary practice location

81 Willimansett St
South Hadley, MA 01075-3000

Mailing address

PO Box 10417
Holyoke, MA 01041-2017
Phone (413) 540-0150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060413000652 MA Practitioner - Podiatry 6406877802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.82 of 100Reported as group
Quality
81.31
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1780MAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Podiatry Associates PC Podiatrist CurrentSince Apr 14, 1986 Accepting new patients
Valley Podiatry Associates PC Podiatrist Past Accepting new patients

Locations

81 Willimansett St
South Hadley, MA 01075
Phone (413) 536-0289

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHEEBA

Organizations & group practices 4

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1265493183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10417",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010412017",
            "telephone_number": "413-540-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 WILLIMANSETT ST",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010753000",
            "telephone_number": "413-536-0912",
            "fax_number": "413-538-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "WALTER",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hadley, MA

Sources for this page

Verify at the official NPI Registry.