Howard A. Penn, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004270 Issued in NY

Practice address

1271 Ridge Rd
Lackawanna, NY 14218-1820

Phone

(716) 824-9835

Fax

(716) 827-7095

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ehs, IncGroup PAC ID 7618946310, 41 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hpenn@evergreenhs.medentdirect.com

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.

• Ehs, Inc.

  • Primary Care Clinic/Center
  • Buffalo, NY
  • NPI 1356390918
  Medicare reassignment Care Compare group NPD
• Vyjanthanath Rohan Gunasingham, M.D.

  • Internal Medicine Physician
  • West Seneca, NY
  • NPI 1659796738
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1366424848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181820",
            "telephone_number": "716-824-9835",
            "fax_number": "716-827-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 RIDGE RD",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181820",
            "telephone_number": "716-824-9835",
            "fax_number": "716-827-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "HOWARD",
        "middle_name": "A.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raman R Patel, M.D.
• Anthony Pavone
• Thomas Peffer
• Jesse Pelc
• Aylwyn Jean Pelletreau
• Diana Petruzzella, LBA
• Suzanne M Picinich, DO
• Cheryl Pieczonka, LCSW
• Michael J Pietrusik, DPM
• Luiza Podlesny, PT, MPT

• Podiatrist in Lackawanna, NY
• Providers in Lackawanna, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.