Individual provider Active NPI

Gerard A. Skaziak, DPM

  • Foot Surgery Podiatrist
  • Guntersville, AL
National Provider Identifier
1265543524
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
171 Issued in AL
Practice address
1604 Blount Ave
Guntersville, AL 35976-1840
Phone
(256) 582-7486
Fax
(256) 582-9844
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 171 AL Primary

Addresses

Primary practice location

1604 Blount Ave
Guntersville, AL 35976-1840

Mailing address

PO Box 404
Guntersville, AL 35976-0404
Phone (256) 582-7486

Other identifiers 13

IdentifierTypeStateIssuer
1205OtherALLVFFC STATE LICENSE
38652OtherALHEALTH PARTNERS
1265543524OtherNPI INDIVIDUAL #
9861OtherALGUNTERSVILLE CITY LICENSE
000078853 (5738)MedicaidAL
00171OtherALCONTROLLED SUBSTANCE LICE
2710035OtherALUNITED HEALTH CARE
721400816OtherNEW TAX ID #
171OtherALAL STATE LICENSE
480024856OtherALRAILROAD MEDICARE
631189931OtherOLD TAX ID #
1253800001OtherDMERC #
1306045588OtherGROUP NPI #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050504000421 AL Practitioner - Podiatry 0840230322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1604 Blount Ave
Guntersville, AL 35976-1840
Phone (256) 582-7486

9625 US Hwy 431
Albertville, AL 35950-0129
Phone (256) 582-7486

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue91
Removal of skin lesions1-10
Removal of nail tissue69
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
171ALMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Family Foot Care L.L.C. Foot Surgery CurrentSince Jan 1, 1998 Accepting new patients
Lakeview Family Foot Care L.L.C. CurrentSince Aug 28, 2022 Accepting new patients

Locations

9625 US Highway 431
Albertville, AL 35950
Phone (256) 582-7486

1604 Blount Ave
Guntersville, AL 35976
Phone (256) 582-7486

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265543524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359760404",
            "telephone_number": "256-582-7486",
            "fax_number": "256-582-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 BLOUNT AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359761840",
            "telephone_number": "256-582-7486",
            "fax_number": "256-582-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAZIAK",
        "first_name": "GERARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "AL",
            "license": "171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LVFFC STATE LICENSE",
            "identifier": "1205",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "38652",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL #",
            "identifier": "1265543524",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GUNTERSVILLE CITY LICENSE",
            "identifier": "9861",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000078853 (5738)",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE LICE",
            "identifier": "00171",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2710035",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW TAX ID #",
            "identifier": "721400816",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL STATE LICENSE",
            "identifier": "171",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480024856",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD TAX ID #",
            "identifier": "631189931",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC #",
            "identifier": "1253800001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI #",
            "identifier": "1306045588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.