Individual provider Active NPI

Andrew Mermelstein, DPM

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1851877179
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006928 Issued in PA
Practice address
1337 Cottman Ave Ste a
Philadelphia, PA 19111-3728
Phone
(215) 745-6566
Fax
(215) 893-1722
NPI assigned
Jul 19, 2018
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X SC006928 PA
Podiatrist 213E00000X SC006928 PA Primary
Public Medicine Podiatrist 213EP0504X SC006928 PA
Primary Podiatric Medicine Podiatrist 213EP1101X SC006928 PA
Radiology Podiatrist 213ER0200X SC006928 PA
Sports Medicine Podiatrist 213ES0000X SC006928 PA
Foot & Ankle Surgery Podiatrist 213ES0103X SC006928 PA

Addresses

Primary practice location

1337 Cottman Ave Ste a
Philadelphia, PA 19111-3728

Mailing address

1337 Cottman Ave Ste a
Philadelphia, PA 19111-3728
Phone (152) 745-6566

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
I20201005000131 PA Practitioner - Podiatry 4587083936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1337 Cottman Ave
Suite a
Philadelphia, PA 19111-3728
Phone (215) 745-6566

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

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 tissue22
Removal of nail tissue2267
Removal or shaving of skin growth1742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006928PAMDPodiatric Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia Foot and Ankle LLC Podiatrist CurrentSince Aug 9, 2020 Accepting new patients

Locations

1337 Cottman Ave
#A
Philadelphia, PA 19111
Phone (215) 722-5080

8301 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 624-6038

Organizations & group practices 1

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 2

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1851877179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 COTTMAN AVE STE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113728",
            "telephone_number": "152-745-6566",
            "fax_number": "215-893-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 COTTMAN AVE STE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113728",
            "telephone_number": "215-745-6566",
            "fax_number": "215-893-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERMELSTEIN",
        "first_name": "ANDREW",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-19",
        "last_updated": "2022-08-10",
        "certification_date": "2021-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "PA",
            "license": "SC006928",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006928",
            "primary": true
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "PA",
            "license": "SC006928",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "PA",
            "license": "SC006928",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "PA",
            "license": "SC006928",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "PA",
            "license": "SC006928",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.