Organization Active NPI

Pelleschi Foot & Ankle Specialists LLC

  • Podiatrist
  • Lewisberry, PA
National Provider Identifier
1477297992
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PELLESCHI FOOT & ANKLE SPECIALISTS LLC
Practice address
689 Yorktown Rd Ste 205
Lewisberry, PA 17339-9258
Phone
(717) 938-5200
Fax
(717) 938-5230
NPI assigned
Apr 21, 2022
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Benjamin Pelleschi, DPMNPI 1720495658
Title
Authorized Official
Phone
(717) 938-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

689 Yorktown Rd Ste 205
Lewisberry, PA 17339-9258

Mailing address

689 Yorktown Rd Ste 205
Lewisberry, PA 17339-9258
Phone (717) 938-5200

Other names 1

  • Todd M Pelleschi DPM Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221025001551 PA Part B Supplier - Clinic/Group Practice 1052787512 Receives reassigned benefits from 2 practitioners
Practice locations: Lewisberry, PA
O20250414000045 PA DME Supplier - Physician - Podiatry 1052787512 Practice locations: Lewisberry, PA

National Provider Directory

National Provider Directory

Locations

689 Yorktown Rd
Ste 205
Lewisberry, PA 17339
Phone (717) 938-5200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1477297992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 YORKTOWN RD STE 205",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399258",
            "telephone_number": "717-938-5200",
            "fax_number": "717-938-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 YORKTOWN RD STE 205",
            "city": "LEWISBERRY",
            "state": "PA",
            "postal_code": "173399258",
            "telephone_number": "717-938-5200",
            "fax_number": "717-938-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELLESCHI FOOT & ANKLE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "PELLESCHI",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "717-938-5200",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Todd M Pelleschi DPM",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Todd M Pelleschi DPM",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lewisberry, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.