Individual provider Active NPI

Willem Sorgeloos, DPM

  • Podiatrist
  • Hattiesburg, MS
National Provider Identifier
1861929648
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
80235 Issued in MS
Practice address
34 Franklin Rd
Hattiesburg, MS 39402-1318
Phone
(601) 268-0400
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 80235 MS Primary

Addresses

Primary practice location

34 Franklin Rd
Hattiesburg, MS 39402-1318

Mailing address

155 Cross Creek Pkwy Apt 335
Hattiesburg, MS 39402-4424
Phone (423) 367-8713

Other practice location 1

1712 SW 2nd Ave
Apartment Number 504
Miami, FL 33129-1131
Phone (305) 674-2310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20200922002929 MS Practitioner - Podiatry 9436577525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34 Franklin Rd
Hattiesburg, MS 39402-1318
Phone (601) 268-0400

Hospital & facility affiliations

  • Merit Health Wesley Hospital, Hattiesburg, MS, CCN 250094

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue129
Removal of nail tissue1333
Removal or shaving of skin growth763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80235MSMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Michael S Zaleski Podiatrist CurrentSince Sep 14, 2020 Accepting new patients
Dr. Michael S. Zaleski Podiatrist CurrentSince Sep 14, 2020 Accepting new patients

Locations

34 Franklin Rd
Hattiesburg, MS 39402
Phone (601) 268-0400

528 N 15th Ave
Ste E
Laurel, MS 39440
Phone (601) 268-0400

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.

Hospital & facility affiliations 1

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1861929648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CROSS CREEK PKWY APT 335",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394024424",
            "telephone_number": "423-367-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 FRANKLIN RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021318",
            "telephone_number": "601-268-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1712 SW 2nd Ave",
            "address_2": "Apartment Number 504",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331291131",
            "country_code": "US",
            "telephone_number": "305-674-2310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORGELOOS",
        "first_name": "WILLEM",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MS",
            "license": "80235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.