Individual provider Active NPI

Ralph J Wentz, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Salida, CO
National Provider Identifier
1689673188
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD.0000429 Issued in CO
Practice address
920 Rush Dr
Salida, CO 81201-9669
Phone
(719) 539-6600
Fax
(719) 539-6606
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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 POD.0000429 CO Primary

Addresses

Primary practice location

920 Rush Dr
Salida, CO 81201-9669

Mailing address

PO Box 456
Salida, CO 81201-0456
Phone (719) 539-6600

Other identifiers 1

IdentifierTypeStateIssuer
01004290MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20100622000152 CO Practitioner - Podiatry 9335270271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ralph J Wentz DPM PCGroup PAC ID 5991836835, 2 clinicians

Practice addresses (Care Compare)

920 Rush Dr
Suite a
Salida, CO 81201-9669
Phone (719) 539-6600

Hospital & facility affiliations

  • Heart of the Rockies Regional Medical Center Hospital, Salida, CO, CCN 061322
  • San Luis Valley Regional Medical Center Hospital, Alamosa, CO, CCN 060008
  • Rio Grande Hospital Hospital, Del Norte, CO, CCN 061301

Merit-based Incentive Payment System (MIPS)

Final score
75.69 of 100Reported as group
Quality
71.4
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue299
Removal of skin lesions94
Removal of nail tissue395
Removal or shaving of skin growth291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
429COMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ralph J Wentz DPM PC Foot & Ankle Surgery CurrentSince Sep 29, 2003 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

920 Rush Dr
Ste A
Salida, CO 81201
Phone (719) 530-3100

920 Rush Dr
Salida, CO 81201
Phone (719) 539-7387

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 5

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1689673188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812010456",
            "telephone_number": "719-539-6600",
            "fax_number": "719-539-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 RUSH DR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019669",
            "telephone_number": "719-539-6600",
            "fax_number": "719-539-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTZ",
        "first_name": "RALPH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01004290",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salida, CO

Sources for this page

Verify at the official NPI Registry.