Individual provider Active NPI

Suna Panah, DPM

  • Foot & Ankle Surgery Podiatrist
  • Plymouth Meeting, PA
National Provider Identifier
1326644873
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC007147 Issued in PA
Practice address
1000 Germantown Pike Ste C3
Plymouth Meeting, PA 19462-2483
Phone
(484) 681-9485
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC007147 PA
Public Medicine Podiatrist 213EP0504X SC007147 PA
Primary Podiatric Medicine Podiatrist 213EP1101X SC007147 PA
Radiology Podiatrist 213ER0200X SC007147 PA
Sports Medicine Podiatrist 213ES0000X SC007147 PA
Foot & Ankle Surgery Podiatrist 213ES0103X SC007147 PA Primary

Addresses

Primary practice location

1000 Germantown Pike Ste C3
Plymouth Meeting, PA 19462-2483

Mailing address

523 Markel Rd
Conshohocken, PA 19428-1120
Phone (215) 279-4940

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
I20201231001623 PA Practitioner - Podiatry 6002229481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barkingdogs Foot and Ankle Care, PCGroup PAC ID 7012194012, 3 clinicians

Practice addresses (Care Compare)

1000 Germantown Pike
Suite J4
Plymouth Meeting, PA 19462-2489
Phone (484) 681-9485

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue130
Removal of skin lesions24
Removal of nail tissue766
Removal or shaving of skin growth468
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC007147PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barkingdogs Foot and Ankle Care, PC Podiatrist CurrentSince Dec 29, 2020 Accepting new patients

Locations

1000 Germantown Pike
Ste J4
Plymouth Mtng, PA 19462
Phone (484) 681-9485

1000 Germantown Pike
Ste C3
Plymouth Mtng, PA 19462
Phone (484) 681-9485

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 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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1326644873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 MARKEL RD",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281120",
            "telephone_number": "215-279-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GERMANTOWN PIKE STE C3",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622483",
            "telephone_number": "484-681-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAH",
        "first_name": "SUNA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC007147",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "PA",
            "license": "SC007147",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC007147",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "PA",
            "license": "SC007147",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "PA",
            "license": "SC007147",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC007147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.