Mallory Michelle Przybylski, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

N/A Issued in CT

Practice address

212 W McNeese St
Lake Charles, LA 70605-5639

Phone

(337) 474-2233

NPI assigned

Apr 18, 2011

Last updated

Jul 11, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

R Franklin University of Med & Sci/Chicago Medical School, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisiana Foot and Ankle Specialists LLCGroup PAC ID 5799909461, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10228/brand/1/csg/1/fhir/r4
• Direct secure messaging: mallory.przybylski.1@10228.direct.athenahealth.com

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.

• Louisiana Foot and Ankle Specialists LLC

  • Foot & Ankle Surgery Podiatrist
  • Lake Charles, LA
  • NPI 1376964627
  Medicare reassignment Care Compare group NPD
• A Complete Foot Center LLC

  • Podiatrist
  • Lake Charles, LA
  • NPI 1770770414
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southwest Louisiana Hospital Association Inc

  dba Digestive Health Center of SWLA

  • Gastroenterology Physician
  • Lake Charles, LA
  • NPI 1285351411

  Hospital

  Care Compare affiliation
• Southwest Louisiana Hospital Association Inc

  dba Rheumatology Associates

  • Rheumatology Physician
  • Lake Charles, LA
  • NPI 1659424075

  Hospital

  Care Compare affiliation
• Southwest Louisiana Hospital Association Inc

  dba Lake Charles Memorial Hospital

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1972549855
  Care Compare affiliation

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1437449915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055639",
            "telephone_number": "847-612-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055639",
            "telephone_number": "337-474-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYLSKI",
        "first_name": "MALLORY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2359495",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prosthetic Solutions Inc.
• Sharon Prudhomme, LCSW, MSW
• Pryces Pharmacy Inc
• Alecia Pryor
• Sarah Pryor
• Psychiatric Center LLC
• Psychology Clinic of Lake Charles
• Wanda Puckett, DDS
• Louis Umile Pulicicchio, MD
• Joshua Pullig

• Foot & Ankle Surgery Podiatrist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Foot & Ankle Surgery Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.