Individual provider Active NPI

Michael T. Sorokolit, DPM

  • Podiatrist
  • Fort Worth, TX
National Provider Identifier
1861756108
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PR 305 Issued in FL
Practice address
908 9TH Ave
Fort Worth, TX 76104-3904
Phone
(817) 877-5781
Fax
(817) 877-5782
NPI assigned
Jul 2, 2012
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PR 305 FL Primary

Addresses

Primary practice location

908 9TH Ave
Fort Worth, TX 76104-3904

Mailing address

908 9TH Ave
Fort Worth, TX 76104-3904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160811002058 TX Practitioner - Podiatry 4385951813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1712 Pennsylvania Ave
Fort Worth, TX 76104-2036
Phone (817) 877-5781

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue25
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR 305FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sorokolit Podiatry PLLC Podiatrist CurrentSince May 11, 2016 Accepting new patients
Friedman & Greenhut, DPM, PA Past Accepting new patients

Locations

1712 Pennsylvania Ave
Fort Worth, TX 76104
Phone (817) 877-5781

908 9th Ave
Ste A
Fort Worth, TX 76104
Phone (817) 877-5781

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.

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1861756108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 9TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 9TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043904",
            "telephone_number": "817-877-5781",
            "fax_number": "817-877-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOROKOLIT",
        "first_name": "MICHAEL",
        "middle_name": "T.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PR 305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.