Mitchell J Wachtel, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1978 Issued in MA

Practice address

451 Andover St Ste 202
North Andover, MA 01845-5069

Phone

(978) 794-8406

Fax

(978) 794-0633

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

No

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 MA2 enrollments

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 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mitchell J Wachtel DPM PC

  • Podiatrist
  • North Andover, MA
  • NPI 1295918969

  O20100930028636

  Same enrollment

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lowell General Hospital Hospital, Lowell, MA, CCN 220063

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mitchell J Wachtel DPM PC

  • Podiatrist
  • North Andover, MA
  • NPI 1295918969
  Medicare reassignment NPD Authorized official
• Mitchell J Wachtel DPM PC

  • Podiatrist
  • North Andover, MA
  • NPI 1467251322
  NPD (past) Authorized official

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

• The Lowell General Hospital

  • General Acute Care Hospital
  • Lowell, MA
  • NPI 1407804669
  Care Compare affiliation

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1699765503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST STE 202",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455069",
            "telephone_number": "978-794-8406",
            "fax_number": "978-794-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST STE 202",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455069",
            "telephone_number": "978-794-8406",
            "fax_number": "978-794-0633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 Merrimack St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "MA",
            "postal_code": "018543548",
            "country_code": "US",
            "telephone_number": "978-794-8406",
            "fax_number": "978-794-0633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Ward Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "MA",
            "postal_code": "018356928",
            "country_code": "US",
            "telephone_number": "978-794-8406",
            "fax_number": "978-794-0633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WACHTEL",
        "first_name": "MITCHELL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0357812",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in North Andover, MA
• Providers in North Andover, MA by specialty
• Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.