Individual provider Active NPI

Julia Heya Karcic, DPM

  • Podiatrist
  • Erie, PA
National Provider Identifier
1588757140
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003624L Issued in PA
Practice address
1611 Peach St
Ste 290
Erie, PA 16501-2126
Phone
(814) 868-3488
Fax
(814) 868-3499
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC003624L PA Primary

Addresses

Primary practice location

1611 Peach St
Ste 290
Erie, PA 16501-2126

Mailing address

1611 Peach St
Ste 290
Erie, PA 16501-2126

Other identifiers 2

IdentifierTypeStateIssuer
056683OtherPAHIGHMARK
0014205920010MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000914 PA Practitioner - PodiatryPractitioner - Sports Medicine 6901830967 Practice locations: Erie, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC003624LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Julia-Heya Karcic DPM LLC CurrentSince Sep 20, 2020 Accepting new patients
Julia Heya Karcic D.P.M. Podiatrist CurrentSince Aug 20, 2018 Accepting new patients

Locations

1611 Peach St
Ste 290
Erie, PA 16501
Phone (814) 459-9700

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1588757140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 PEACH ST",
            "address_2": "STE 290",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165012126",
            "fax_number": "814-868-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 PEACH ST",
            "address_2": "STE 290",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165012126",
            "telephone_number": "814-868-3488",
            "fax_number": "814-868-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARCIC",
        "first_name": "JULIA",
        "middle_name": "HEYA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003624L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "056683",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014205920010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.