Individual provider Active NPI

Matthew Kujat, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bloomsburg, PA
National Provider Identifier
1801246640
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006729 Issued in PA
Practice address
6850 Lows Rd Ste 316
Bloomsburg, PA 17815-8708
Phone
(570) 387-2202
Fax
(570) 387-2203
NPI assigned
Jun 13, 2016
Last updated
May 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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 SC006729 PA Primary

Addresses

Primary practice location

6850 Lows Rd Ste 316
Bloomsburg, PA 17815-8708

Mailing address

PO Box 1935
Kingston, PA 18704-0935
Phone (570) 288-8881

Other practice location 1

87 Oxford St
Hanover Twp, PA 18706-3350
Phone (570) 829-3668

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
I20190719001029 PA Practitioner - Podiatry 0143556761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portonova Foot and Ankle Specialists LLCGroup PAC ID 1456669746, 2 clinicians

Practice addresses (Care Compare)

642 Brookhill Square Route 93
Suite 36 1
Conyngham, PA 18219-0860
Phone (570) 359-2024

6850 Lows Rd
Suite 316
Bloomsburg, PA 17815-8708
Phone (570) 387-2202

87 Oxford St
Hanover Township, PA 18706-3350
Phone (570) 829-3668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue154
Removal of nail tissue1141
Removal or shaving of skin growth560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Portonova Foot and Ankle Specialists LLC Foot & Ankle Surgery CurrentSince Jul 1, 2019 Accepting new patients
Karen Campbell, DPM Past Accepting new patients

Locations

410 Glen Ave
Ste 201
Bloomsburg, PA 17815
Phone (570) 387-2022

6850 Lows Rd
Ste 316
Bloomsburg, PA 17815
Phone (570) 387-2202

87 Oxford St
Hanover Township, PA 18706
Phone (570) 387-2202

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1801246640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1935",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040935",
            "telephone_number": "570-288-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 LOWS RD STE 316",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158708",
            "telephone_number": "570-387-2202",
            "fax_number": "570-387-2203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 Oxford St",
            "address_purpose": "LOCATION",
            "city": "Hanover Twp",
            "state": "PA",
            "postal_code": "187063350",
            "country_code": "US",
            "telephone_number": "570-829-3668",
            "fax_number": "570-387-2203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUJAT",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

Verify at the official NPI Registry.