Individual provider Active NPI

Jason M Sweeley, D.P.M.

  • Podiatrist
  • Mechanicsburg, PA
National Provider Identifier
1801043500
Registry record updated Sep 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006046 Issued in PA
Practice address
1300 Bent Creek Blvd Ste 101
Mechanicsburg, PA 17050-1874
Phone
(570) 295-1486
NPI assigned
Aug 25, 2008
Last updated
Sep 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006046 PA
Podiatrist 213E00000X SC006046 PA Primary

Addresses

Primary practice location

1300 Bent Creek Blvd Ste 101
Mechanicsburg, PA 17050-1874

Mailing address

3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone (717) 761-5530

Other identifiers 1

IdentifierTypeStateIssuer
102921048MedicaidPA

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
I20110601000388 PA Practitioner - Podiatry 7719164698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 Bent Creek Blvd
Suite 101
Mechanicsburg, PA 17050-1874
Phone (717) 237-9000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue81
Removal of skin lesions11
Removal of nail tissue322
Removal or shaving of skin growth289
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006046PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spring Foot and Ankle PLLC Podiatrist CurrentSince Sep 18, 2023 Accepting new patients
Daniels & Welch Podiatrist Past Accepting new patients
Kevin M. Welch Podiatrist Past Accepting new patients
Capital City Foot & Ankle Center LLC PastSince Sep 17, 2023 Accepting new patients

Locations

1300 Bent Creek Blvd
Ste 101
Mechanicsburg, PA 17050
Phone (570) 295-1486

Interoperability endpoints

  • Direct secure messaging: jsweeley@ssfootdoc.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694822400000",
    "number": "1801043500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114407",
            "telephone_number": "717-761-5530",
            "fax_number": "717-737-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BENT CREEK BLVD STE 101",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501874",
            "telephone_number": "570-295-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEELEY",
        "first_name": "JASON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2023-09-16",
        "certification_date": "2023-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006046",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102921048",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.