Individual provider Active NPI

Sally Beth Schkolnik, D.P.M

  • Podiatrist
  • Cleveland Heights, OH
National Provider Identifier
1780741843
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2317 Issued in OH
Practice address
30 Severance Cir Apt 506
Cleveland Heights, OH 44118-1527
Phone
(216) 291-6000
Fax
(216) 291-6013
NPI assigned
Jan 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2317 OH Primary

Addresses

Primary practice location

30 Severance Cir Apt 506
Cleveland Heights, OH 44118-1527

Mailing address

30 Severance Cir Apt 506
Cleveland Heights, OH 44118-1527
Phone (216) 291-6000

Other identifiers 1

IdentifierTypeStateIssuer
0618184MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120202000582 OH Practitioner - Podiatry 4486811494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3878 Rocky River Dr
Suite 3
Cleveland, OH 44111-4135
Phone (216) 291-6000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2317OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sally Schkolnik D.P.M., Inc. CurrentSince Oct 20, 2011 Accepting new patients
Brian J Weiss Podiatrist PastSince Feb 13, 2019 Accepting new patients

Locations

3878 Rocky River Dr
Ste 3
Cleveland, OH 44111
Phone (216) 291-6000

5 Severance Cir
Ste 309
Cleveland Heights, OH 44118
Phone (216) 291-6000

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": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1780741843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SEVERANCE CIR APT 506",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181527",
            "telephone_number": "216-291-6000",
            "fax_number": "216-291-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SEVERANCE CIR APT 506",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181527",
            "telephone_number": "216-291-6000",
            "fax_number": "216-291-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHKOLNIK",
        "first_name": "SALLY",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "2317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0618184",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

Verify at the official NPI Registry.