Individual provider Active NPI

Bernard Anthony Novabilski, D.P.M.

  • Foot Surgery Podiatrist
  • Eagleville, PA
National Provider Identifier
1811903958
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC004124L Issued in PA
Practice address
3125 Ridge Pike
Suite B
Eagleville, PA 19403-1407
Phone
(610) 631-3338
Fax
(610) 631-0313
NPI assigned
Jul 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X SC004124L PA Primary

Addresses

Primary practice location

3125 Ridge Pike
Suite B
Eagleville, PA 19403-1407

Mailing address

3866 Jamie CT
Collegeville, PA 19426-1251
Phone (610) 409-2786

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
I20111104000128 PA Practitioner - Podiatry 2961514252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3125 Ridge Pike
Suite B
Eagleville, PA 19403-5708
Phone (610) 631-3338

Merit-based Incentive Payment System (MIPS)

Final score
97.85 of 100Reported as individual
Quality
85.7
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1558
Removal or shaving of skin growth592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC004124LPAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Family Podiatry P.C. Foot Surgery CurrentSince Jan 7, 2003 Accepting new patients
Pennsylvania Foot and Ankle Associates, P.C. Past Accepting new patients
Curalta Foot and Ankle Penn PC Foot Surgery Past Accepting new patients
Twin Rivers Podiatry P a PastSince Sep 1, 1997 Accepting new patients

Locations

3125 Ridge Pike
Ste B
Norristown, PA 19403
Phone (610) 409-2786

Interoperability endpoints

  • Direct secure messaging: bernard.novabilski@novafamilypodiatry.chartmakerdirect.com

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811903958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3866 JAMIE CT",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194261251",
            "telephone_number": "610-409-2786",
            "fax_number": "610-631-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 RIDGE PIKE",
            "address_2": "SUITE B",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194031407",
            "telephone_number": "610-631-3338",
            "fax_number": "610-631-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVABILSKI",
        "first_name": "BERNARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC004124L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagleville, PA

Sources for this page

Verify at the official NPI Registry.