Individual provider Active NPI

Paul J Turrisi, DPM

  • Podiatrist
  • Wyomissing, PA
National Provider Identifier
1336139815
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002913L Issued in PA
Practice address
2000 State Hill Road
Wyomissing, PA 19610-1608
Phone
(610) 373-7110
Fax
(610) 373-7160
NPI assigned
Oct 25, 2005
Last updated
Sep 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC002913L PA Primary

Addresses

Primary practice location

2000 State Hill Road
Wyomissing, PA 19610-1608

Mailing address

2000 State Hill Rd
Wyomissing, PA 19610-1608
Phone (610) 373-7110

Other identifiers 3

IdentifierTypeStateIssuer
1336139815OtherPAINDIVIDUAL NPI
1881860872OtherPAMEDICARE DMEPOS ORGANIZATIONAL NPI
0011464850002MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pauljturrisi@comcast.net Direct

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
I20050114000073 PA Practitioner - Podiatry 1456300649 Practice locations: Wyomissing, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 State Hill Rd
Wyomissing, PA 19610-1608
Phone (610) 373-7110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue111
Removal or shaving of skin growth100

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1336139815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 STATE HILL RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101608",
            "telephone_number": "610-373-7110",
            "fax_number": "610-373-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 STATE HILL ROAD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101608",
            "telephone_number": "610-373-7110",
            "fax_number": "610-373-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURRISI",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002913L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1336139815",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMEPOS ORGANIZATIONAL NPI",
            "identifier": "1881860872",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011464850002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pauljturrisi@comcast.net",
            "affiliation": "N",
            "endpointDescription": "pauljturrisi@comcast.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 State Hill Road",
            "city": "Wyomissing",
            "state": "PA",
            "country_code": "US",
            "postal_code": "196101608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.