Peter C Smith, DPM
Individual provider Active NPI Podiatrist · Lancaster, PA
NPI 1821080409 · NPPES record last updated Jan 25, 2017
Key facts
- NPI
- 1821080409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- SC003298L (PA)
- Practice address
- 300 Granite Run Drive
Suite 160
Lancaster, PA 17601-6809 - Phone
- (717) 560-4310
- Fax
- (717) 560-3452
- NPI assigned
- Aug 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 34
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrated Foot and Ankle Specialists of PA LLC
Union Community Care
Practice addresses (Care Compare)
123 Chestnut St
Suite 208
Philadelphia, PA 19106-3059
Phone (215) 923-2455
625 S Duke St
Lancaster, PA 17602-4509
Phone (717) 299-6371
Hospital & facility affiliations
- Lancaster General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 11 |
| Removal of skin lesions | 12 |
| Removal of nail tissue | 1593 |
| Removal or shaving of skin growth | 425 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080326000211 | PA | Practitioner - Podiatry | 6507942992 |
Reassigns benefits to 2 organizations Practice locations: Lancaster, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Community Care | Current |
Accepting new patients | |
| Union Community Care | Current | Accepting new patients | |
| Integrated Foot and Ankle Specialists of PA LLC | Current |
Accepting new patients | |
| Union Community Care | Current |
Accepting new patients | |
| Integrated Foot and Ankle Specialists of PA LLC | Current |
Accepting new patients | |
| Union Community Care | Current |
Accepting new patients | |
| Union Community Care | Current |
Accepting new patients |
Locations
300 Granite Run Dr
Ste 160
Lancaster, PA 17601
Phone (717) 560-4310
625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372
435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400
123 Chestnut St
Ste 201
Philadelphia, PA 19106
Phone (215) 923-2455
50 Berkshire Ct
Ste 1
Wyomissing, PA 19610
Phone (610) 373-4154
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC003298L | PA | Yes |
Addresses
Primary practice location
300 Granite Run Drive
Suite 160
Lancaster, PA 17601-6809
Mailing address
300 Granite Run Drive
Suite 160
Lancaster, PA 17601-6809
Phone (717) 560-4310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014543670004 | Medicaid | PA | |
| 480019276 | Other | PA | RAIL ROAD MEDICARE |
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.