Individual provider Active NPI

Michael J Trepal, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1376537811
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N003296 Issued in NY
Practice address
115 Henry St
Brooklyn, NY 11201-2562
Phone
(718) 624-8022
Fax
(718) 624-7727
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003296 NY
Foot & Ankle Surgery Podiatrist 213ES0103X N003296 NY Primary

Addresses

Primary practice location

115 Henry St
Brooklyn, NY 11201-2562

Mailing address

115 Henry St
Brooklyn, NY 11201-2562
Phone (718) 624-8022

Other identifiers 1

IdentifierTypeStateIssuer
00758214MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110512000657 NY Practitioner - Podiatry 5799969796 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians
Foot Clinics of New YorkGroup PAC ID 5294626636, 17 clinicians

Practice addresses (Care Compare)

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

55 E 124TH St
New York, NY 10035-1815
Phone (212) 410-8158

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003296NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Oct 4, 2024 Accepting new patients
Foot Clinics of New York Podiatrist CurrentSince Aug 1, 1993 Accepting new patients
Michael Trepal DPM and Kevin Jules DPM PC Foot & Ankle Surgery CurrentSince Mar 30, 2011 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Jul 1, 2011 Accepting new patients
Nymhc FPP Nephrology Past Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

115 Henry St
Brooklyn Heights, NY 11201
Phone (718) 624-8022

1901 1st Ave
Rm 5
New York, NY 10029
Phone (212) 423-7095

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

55 E 124th St
New York, NY 10035
Phone (212) 410-8112

1901 1st Ave
Rm 5M44
New York, NY 10029
Phone (212) 423-6262

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: mtrepal840096@nychhc.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1376537811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HENRY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012562",
            "telephone_number": "718-624-8022",
            "fax_number": "718-624-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HENRY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012562",
            "telephone_number": "718-624-8022",
            "fax_number": "718-624-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREPAL",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003296",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N003296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00758214",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.