Individual provider Active NPI

Todd Schmidgall, D.P.M

  • Podiatrist
  • South Charleston, WV
National Provider Identifier
1396857017
Registry record updated Nov 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-00-3213 S Issued in OH
Practice address
5318 Maccorkle Ave SW
South Charleston, WV 25309-1012
Phone
(513) 421-5160
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36-00-3213 S OH Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 10405 WV

Addresses

Primary practice location

5318 Maccorkle Ave SW
South Charleston, WV 25309-1012

Mailing address

1548 Addingham PL
Cincinnati, OH 45223-1712

Other identifiers 3

IdentifierTypeStateIssuer
P00831630OtherWVRAILROAD MEDICARE WEST VIRGINIA
7100128610MedicaidKY
3810016994MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Betsy Brogan DPM Inc Podiatrist Past Accepting new patients
Todd Schmidgall DPM Podiatrist PastSince Jan 1, 1990 Accepting new patients
Betsy Brogan DPM Inc Podiatrist Past Accepting new patients
Summit Medical Group, Inc Past Accepting new patients
DRS Rivera Inc Past Accepting new patients
Advanced Foot & Ankle Care, PLLC Podiatrist Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289606400000",
    "number": "1396857017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 ADDINGHAM PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452231712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091012",
            "telephone_number": "513-421-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDGALL",
        "first_name": "TODD",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-00-3213 S",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WV",
            "license": "10405",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE WEST VIRGINIA",
            "identifier": "P00831630",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100128610",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810016994",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.