Individual provider Active NPI

Paul David Dalbey, DPM

  • Podiatrist
  • Mechanicsburg, PA
National Provider Identifier
1356332241
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003085L Issued in PA
Practice address
5 Kacey CT
Suite 202
Mechanicsburg, PA 17055-9226
Phone
(717) 591-1336
Fax
(717) 591-1337
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 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 SC003085L PA Primary

Addresses

Primary practice location

5 Kacey CT
Suite 202
Mechanicsburg, PA 17055-9226

Mailing address

5 Kacey CT
Suite 202
Mechanicsburg, PA 17055-9226
Phone (717) 591-1336

Other identifiers 5

IdentifierTypeStateIssuer
000162038OtherPAHIGHMARK BLUE SHIELD
001211485MedicaidPA
0831047OtherPAAETNA
480006459OtherPAPALMETTO GBA RAILROAD MED
02620000OtherPACAPITAL BLUECROSS

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
I20101207001223 PA Practitioner - Podiatry 8628265345 Practice locations: Mechanicsburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Kacey Court
Mechanicsburg, PA 17055-9222

5 Kacey CT
Suite 202
Mechanicsburg, PA 17055-9222
Phone (717) 591-1336

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue2052
Removal or shaving of skin growth197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC003085LPAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1356332241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 KACEY CT",
            "address_2": "SUITE 202",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170559226",
            "telephone_number": "717-591-1336",
            "fax_number": "717-591-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 KACEY CT",
            "address_2": "SUITE 202",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170559226",
            "telephone_number": "717-591-1336",
            "fax_number": "717-591-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALBEY",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003085L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000162038",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001211485",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0831047",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MED",
            "identifier": "480006459",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUECROSS",
            "identifier": "02620000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.