Individual provider Active NPI

Tymoteusz Jakub Siwy, DPM

  • Podiatrist
  • Narberth, PA
National Provider Identifier
1316564107
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC007091 Issued in PA
Practice address
104 1/2 Forrest Ave Ste 1
Narberth, PA 19072-2220
Phone
(610) 664-1070
Fax
(610) 664-6853
NPI assigned
Jun 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC007091 PA
Podiatrist 213E00000X SC007091 PA Primary

Addresses

Primary practice location

104 1/2 Forrest Ave Ste 1
Narberth, PA 19072-2220

Mailing address

104 1/2 Forrest Ave Ste 1
Narberth, PA 19072-2220
Phone (610) 664-1070

Other practice location 1

1400 Old Jordan Rd
Southampton, PA 18966-4813
Phone (610) 664-1070

Other practice location 2

2004 Shipley Rd
Wilmington, DE 19803-5248
Phone (610) 664-1070

Other identifiers 1

IdentifierTypeStateIssuer
SC007091OtherPAPA BOARD OF PODIATRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230818001154 PA Practitioner - Podiatry 0446621833 Reassigns benefits to 1 organization
I20240910004246 DE Practitioner - Podiatry 0446621833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

104 /2 Forrest Ave
Suite 1
Narberth, PA 19072-2220
Phone (610) 664-1070

2004 Shipley Rd
Wilmington, DE 19803-5248
Phone (610) 664-1070

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue2981
Removal or shaving of skin growth1503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC007091PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Siwy Podiatry Associates PLLC Podiatrist CurrentSince Aug 1, 2023 Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1316564107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 1/2 FORREST AVE STE 1",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722220",
            "telephone_number": "610-664-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 1/2 FORREST AVE STE 1",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722220",
            "telephone_number": "610-664-1070",
            "fax_number": "610-664-6853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Old Jordan Rd",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "PA",
            "postal_code": "189664813",
            "country_code": "US",
            "telephone_number": "610-664-1070",
            "fax_number": "610-664-6853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2004 Shipley Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198035248",
            "country_code": "US",
            "telephone_number": "610-664-1070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIWY",
        "first_name": "TYMOTEUSZ",
        "middle_name": "JAKUB",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC007091",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC007091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BOARD OF PODIATRY",
            "identifier": "SC007091",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Narberth, PA

Sources for this page

Verify at the official NPI Registry.