Individual provider Active NPI

Ijaz Alam Zia, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mechanicsburg, PA
National Provider Identifier
1346550118
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006155 Issued in PA
Practice address
219 E Main St Ste 101
Mechanicsburg, PA 17055-6541
Phone
(717) 697-2727
Fax
(717) 697-2884
NPI assigned
Oct 14, 2010
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006155 PA Primary

Addresses

Primary practice location

219 E Main St Ste 101
Mechanicsburg, PA 17055-6541

Mailing address

219 E Main St Ste 121
Mechanicsburg, PA 17055-6541
Phone (717) 697-2727

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
I20121227000320 PA Practitioner - Podiatry 9537315122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

219 E Main St
Suite 121
Mechanicsburg, PA 17055-6541
Phone (717) 697-2727

2410 S Queen St
York, PA 17402-4941
Phone (717) 718-5511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue42
Removal of skin lesions1-10
Removal of nail tissue144
Removal or shaving of skin growth89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006155PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital City Foot & Ankle Center LLC CurrentSince Oct 2, 2012 Accepting new patients
Silver Spring Foot and Ankle PLLC Foot & Ankle Surgery PastSince Sep 24, 2023 Accepting new patients
Premier Ankle & Foot Specialists PC Foot & Ankle Surgery Past Accepting new patients

Locations

1300 Bent Creek Blvd
Ste 101
Mechanicsburg, PA 17050
Phone (570) 295-1486

219 E Main St
Ste 121
Mechanicsburg, PA 17055
Phone (717) 697-2727

Interoperability endpoints

  • Direct secure messaging: ijaz.zia.1@10619.direct.athenahealth.com

Organizations & group practices 3

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 7

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": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1346550118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E MAIN ST STE 121",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556541",
            "telephone_number": "717-697-2727",
            "fax_number": "717-697-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E MAIN ST STE 101",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556541",
            "telephone_number": "717-697-2727",
            "fax_number": "717-697-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIA",
        "first_name": "IJAZ",
        "middle_name": "ALAM",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.