Individual provider Active NPI

Paul C Lafata, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • West Lawn, PA
National Provider Identifier
1790785947
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC004661-L Issued in PA
Practice address
25 Stevens Ave
West Lawn, PA 19609-1424
Phone
(610) 678-4581
Fax
(610) 678-8677
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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 SC004661-L PA Primary

Addresses

Primary practice location

25 Stevens Ave
West Lawn, PA 19609-1424

Mailing address

25 Stevens Ave
West Lawn, PA 19609-1424
Phone (610) 678-4581

Other identifiers 3

IdentifierTypeStateIssuer
1462377OtherPAHIGHMARK BLUE SHIELD
50015444OtherPACAPITAL BLUE CROSS
P00203039OtherPAPALMETTO GBA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050421000336 PA Practitioner - Podiatry 5799735957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

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

25 Stevens Ave
West Lawn, PA 19609-1425
Phone (610) 678-4581

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.02 of 100Reported as individual
Quality
96.4
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue116
Removal of skin lesions1-10
Removal of nail tissue918
Removal or shaving of skin growth278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC004661-LPAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Lawn Podiatry Assoc., PC CurrentSince Jan 11, 2005 Accepting new patients

Locations

25 Stevens Ave
West Lawn, PA 19609
Phone (610) 678-4581

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1790785947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 STEVENS AVE",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091424",
            "telephone_number": "610-678-4581",
            "fax_number": "610-678-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 STEVENS AVE",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091424",
            "telephone_number": "610-678-4581",
            "fax_number": "610-678-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFATA",
        "first_name": "PAUL",
        "middle_name": "C",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004661-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1462377",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50015444",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00203039",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lawn, PA

Sources for this page

Verify at the official NPI Registry.