Individual provider Active NPI

Melissa Wawrzynek, DPM

  • Foot & Ankle Surgery Podiatrist
  • King of Prussia, PA
National Provider Identifier
1790913937
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006151 Issued in PA
Practice address
860 1St Ave
Suite 1B
King of Prussia, PA 19406-4033
Phone
(610) 822-3900
Fax
(610) 822-3820
NPI assigned
Jun 25, 2009
Last updated
Jan 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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 SC006151 PA Primary

Addresses

Primary practice location

860 1St Ave
Suite 1B
King of Prussia, PA 19406-4033

Mailing address

860 1St Ave
Suite 1B
King of Prussia, PA 19406-4033
Phone (610) 822-3900

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
I20130501000063 PA Practitioner - Podiatry 7911167028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

860 1St Ave
Suite 1B
King of Prussia, PA 19406-4033
Phone (610) 822-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue896
Removal or shaving of skin growth635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006151PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot & Ankle Wellness Center, PC Foot & Ankle Surgery CurrentSince Feb 19, 2013 Accepting new patients
Alpha Psychiatric Associates LLC PastSince May 1, 2025 Accepting new patients
Verma Pontarelli & Sutera Assoc Foot & Ankle Surgery PastSince Jul 1, 2016 Accepting new patients
Academy Podiatry Associates, P.C. Foot & Ankle Surgery Past Accepting new patients

Locations

860 1st Ave
Ste 1B
Kng of Prussa, PA 19406
Phone (610) 265-0765

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1790913937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 1ST AVE",
            "address_2": "SUITE 1B",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064033",
            "telephone_number": "610-822-3900",
            "fax_number": "610-822-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 1ST AVE",
            "address_2": "SUITE 1B",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064033",
            "telephone_number": "610-822-3900",
            "fax_number": "610-822-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWRZYNEK",
        "first_name": "MELISSA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.