Individual provider Active NPI

Matthew Engelthaler, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Florence, AL
National Provider Identifier
1356791735
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
392 Issued in AL
Practice address
2577 Mall Rd Ste a
Florence, AL 35630-1684
Phone
(256) 760-8485
NPI assigned
Jun 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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 392 AL Primary

Addresses

Primary practice location

2577 Mall Rd Ste a
Florence, AL 35630-1684

Mailing address

2577 Mall Rd Ste a
Florence, AL 35630-1684
Phone (256) 760-8485

Other identifiers 1

IdentifierTypeStateIssuer
PD6791MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AL2 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
I20190826002218 SC Practitioner - Podiatry 7214265461 Reassigns benefits to 1 organization
I20230920002454 AL Practitioner - Podiatry 7214265461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hames Foot Clinic, Inc.Group PAC ID 3870486053, 2 clinicians

Practice addresses (Care Compare)

2577 Mall Rd
Suite a
Florence, AL 35630-1684
Phone (256) 760-8485

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue85
Removal of skin lesions25
Removal of nail tissue181
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2509MAMDPsychologist
392ALMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hames Foot Clinic, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Physicians Footcare, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2019 Accepting new patients
Hames Foot Clinic, Inc. Foot & Ankle Surgery CurrentSince Sep 1, 2023 Accepting new patients

Locations

2577 Mall Rd
Ste A
Florence, AL 35630
Phone (256) 760-8485

2487 Mall Rd
Florence, AL 35630
Phone (256) 712-3176

1730 Saint Julian Pl
Columbia, SC 29204
Phone (803) 256-6776

6 Barnette Dr
Sumter, SC 29150
Phone (803) 773-3391

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1356791735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 MALL RD STE A",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301684",
            "telephone_number": "256-760-8485",
            "fax_number": "256-263-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 MALL RD STE A",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301684",
            "telephone_number": "256-760-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELTHALER",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-16",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AL",
            "license": "392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD6791",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.