Individual provider Active NPI

Irving Bradley Pinsky, DPM

  • Podiatrist
  • Holland, PA
National Provider Identifier
1861405235
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC004621L Issued in PA
Practice address
221E Village Rd
Holland, PA 18966-2519
Phone
(215) 837-4928
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC004621L PA Primary

Addresses

Primary practice location

221E Village Rd
Holland, PA 18966-2519

Mailing address

221 E Village Rd
Holland, PA 18966-2519
Phone (215) 837-4928

Other identifiers 1

IdentifierTypeStateIssuer
0947340000OtherPAAMERIHEALTH/INDEPENDENCE

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
I20050531000881 PA Practitioner - Podiatry 3274575238 Practice locations: Holland, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

221 E Village Rd
Holland, PA 18966-2519
Phone (215) 837-4928

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue170
Removal or shaving of skin growth36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC004621LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Philadelphia Foot and Ankle Associates, PLLC Podiatrist Past Accepting new patients
Honor G Manilla Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9924/brand/1/csg/1/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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1861405235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E VILLAGE RD",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189662519",
            "telephone_number": "215-837-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221E VILLAGE RD",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189662519",
            "telephone_number": "215-837-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSKY",
        "first_name": "IRVING",
        "middle_name": "BRADLEY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004621L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/INDEPENDENCE",
            "identifier": "0947340000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, PA

Sources for this page

Verify at the official NPI Registry.