Individual provider Active NPI

Andrew T Teplica, DPM

  • Foot & Ankle Surgery Podiatrist
  • Havertown, PA
National Provider Identifier
1376589846
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC002317L Issued in PA
Practice address
2800 W Township Line Rd
Havertown, PA 19083-5215
Phone
(610) 449-3344
Fax
(610) 789-6753
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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 SC002317L PA Primary

Addresses

Primary practice location

2800 W Township Line Rd
Havertown, PA 19083-5215

Mailing address

2800 W Township Line Rd
Havertown, PA 19083-5215
Phone (610) 449-3344

Other identifiers 1

IdentifierTypeStateIssuer
01610416MedicaidPA

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
I20090609000651 PA Practitioner - Podiatry 9032269212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pace Foot and Ankle Centers PLLCGroup PAC ID 8527399591, 29 clinicians

Practice addresses (Care Compare)

2800 W Township Line Rd
Greenfield Podiatry
Havertown, PA 19083-5215
Phone (601) 449-3344

599 Arcola Rd
Collegeville, PA 19426-3954
Phone (610) 642-5040

Hospital & facility affiliations

  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

Merit-based Incentive Payment System (MIPS)

Final score
84.79 of 100Reported as group
Quality
72.83
Promoting interoperability
98
Improvement activities
40
Cost
72.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue123
Removal of skin lesions50
Removal of nail tissue1580
Removal or shaving of skin growth369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Pace Foot and Ankle Centers PLLC Foot & Ankle Surgery CurrentSince Mar 15, 2022 Accepting new patients
Pace Foot and Ankle Centers PLLC Foot & Ankle Surgery CurrentSince Mar 15, 2022 Accepting new patients

Locations

599 Arcola Rd
Collegeville, PA 19426
Phone (484) 565-8440

2800 W Township Line Rd
Havertown, PA 19083
Phone (610) 449-3344

3855 West Chester Pike
Newtown Square, PA 19073
Phone (484) 337-6000

3855 West Chester Pike
Ste 340
Newtown Square, PA 19073
Phone (484) 227-9680

Interoperability endpoints

  • Direct secure messaging: ateplica@pace.emadirect.md

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1376589846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W TOWNSHIP LINE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835215",
            "telephone_number": "610-449-3344",
            "fax_number": "610-789-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W TOWNSHIP LINE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835215",
            "telephone_number": "610-449-3344",
            "fax_number": "610-789-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPLICA",
        "first_name": "ANDREW",
        "middle_name": "T",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC002317L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01610416",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.