Individual provider Active NPI

David A Duckwitz, D.P.M.

  • Foot Surgery Podiatrist
  • Rock Springs, WY
National Provider Identifier
1295868727
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
119 Issued in WY
Practice address
2631 Foothill Blvd
Suite C
Rock Springs, WY 82901-4771
Phone
(307) 362-9545
Fax
(307) 362-9732
NPI assigned
Mar 13, 2007
Last updated
Apr 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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 119 WY Primary

Addresses

Primary practice location

2631 Foothill Blvd
Suite C
Rock Springs, WY 82901-4771

Mailing address

2631 Foothill Blvd
Suite C
Rock Springs, WY 82901-4771
Phone (307) 362-9545

Other identifiers 1

IdentifierTypeStateIssuer
116937800MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20080814000107 WY Practitioner - Podiatry 5193890960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sweetwater Foot Care PCGroup PAC ID 5799850111, 2 clinicians

Practice addresses (Care Compare)

2631 Foothill Blvd
Suite C
Rock Springs, WY 82901-4770
Phone (307) 362-9545

Hospital & facility affiliations

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 tissue134
Removal of skin lesions1-10
Removal of nail tissue710
Removal or shaving of skin growth376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1295868727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 FOOTHILL BLVD",
            "address_2": "SUITE C",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014771",
            "telephone_number": "307-362-9545",
            "fax_number": "307-362-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 FOOTHILL BLVD",
            "address_2": "SUITE C",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014771",
            "telephone_number": "307-362-9545",
            "fax_number": "307-362-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKWITZ",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WY",
            "license": "119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116937800",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.