NPIMap

Individual provider Active NPI

Matthew David Sowa, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Fleetwood, PA
National Provider Identifier
1578550877
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC-004634-L Issued in PA
Practice address
12 Lenhart Rd
Fleetwood, PA 19522-8613
Phone
(610) 944-6537
Fax
(610) 944-8152
NPI assigned
Oct 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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 SC-004634-L PA Primary

Addresses

Primary practice location

12 Lenhart Rd
Fleetwood, PA 19522-8613

Mailing address

12 Lenhart Rd
PO Box 425
Fleetwood, PA 19522-8613
Phone (610) 944-6537

Other identifiers 3

IdentifierTypeStateIssuer
001634338MedicaidPA
1627980OtherPAHIGHMARK BLUE SHIELD
50058771OtherPACAPITAL BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719000833 PA Practitioner - Podiatry 4082693478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fleetwood Footcare Center PCGroup PAC ID 3779566005, 2 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

12 Lenhart Rd
Fleetwood, PA 19522-8613
Phone (610) 944-6537

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044

Merit-based Incentive Payment System (MIPS)

Final score
97.3 of 100Reported as group
Quality
100
Promoting interoperability
91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue2037
Removal or shaving of skin growth331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC-004634-LPAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fleetwood Footcare Center, PC Foot & Ankle Surgery CurrentSince Jun 1, 2006 Accepting new patients
Fleetwood Footcare Center, PC CurrentSince Jun 1, 2006 Accepting new patients

Locations

7187 Bernville Rd
Bernville, PA 19506
Phone (610) 488-8080

12 Lenhart Rd
Fleetwood, PA 19522
Phone (610) 944-6537

Interoperability endpoints

  • Direct secure messaging: drmatthewsowa@fleetwoodfootcare.medentdirect.com

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 6

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": "1128211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1578550877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LENHART RD",
            "address_2": "PO BOX 425",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195228613",
            "telephone_number": "610-944-6537",
            "fax_number": "610-944-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LENHART RD",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195228613",
            "telephone_number": "610-944-6537",
            "fax_number": "610-944-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWA",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-02",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC-004634-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001634338",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1627980",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50058771",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleetwood, PA

Sources for this page

Verify at the official NPI Registry.