Active NPI
Melissa Wawrzynek, DPM
- Foot & Ankle Surgery Podiatrist
- King of Prussia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC006151
- 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, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
- Quality
- 0
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 896 |
| Removal or shaving of skin growth | 635 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC006151 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Foot & Ankle Wellness Center, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Alpha Psychiatric Associates LLC | Past | Accepting new patients | |
| Verma Pontarelli & Sutera Assoc | Foot & Ankle Surgery | Past | 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.
-
- Foot & Ankle Surgery Podiatrist
- King of Prussia, PA
- NPI 1164762043
-
- Foot & Ankle Surgery Podiatrist
- Stratford, NJ
- NPI 1841219003
-
- Psychiatric/Mental Health Nurse Practitioner
- Stratford, NJ
- NPI 1538951926
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bryn Mawr Hospital
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
-
dba Hospital of the University of Pennsylvania
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.