Individual provider Active NPI

Heidi Rebecca Newkirk, DPM

  • Foot & Ankle Surgery Podiatrist
  • Winston Salem, NC
National Provider Identifier
1891940557
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0334 Issued in NH
Practice address
1410 Plaza Dr
Winston Salem, NC 27103-1470
Phone
(336) 768-8848
NPI assigned
Nov 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X R64964 NY
Foot & Ankle Surgery Podiatrist 213ES0103X 0334 NH Primary
Podiatrist 213E00000X 836 NC

Addresses

Primary practice location

1410 Plaza Dr
Winston Salem, NC 27103-1470

Mailing address

1410 Plaza Dr
Winston Salem, NC 27103-1470
Phone (336) 768-8848

Other identifiers 1

IdentifierTypeStateIssuer
1025592MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240102002227 NC Practitioner - Podiatry 6901079987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Foot and Ankle PLLCGroup PAC ID 5395059869, 4 clinicians

Practice addresses (Care Compare)

821 S Horner Blvd
Sanford, NC 27330-5359
Phone (919) 292-1610

Hospital & facility affiliations

  • Central Carolina Hospital Hospital, Sanford, NC, CCN 340020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of skin lesions1-10
Removal of nail tissue277
Removal or shaving of skin growth24
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
836NCMDAddiction (Substance Use Disorder) Counselor
R64964NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Foot & Ankle PLLC Foot & Ankle Surgery CurrentSince Nov 19, 2023 Accepting new patients
Brian Fradette Podiatrist PastSince Jan 19, 2021 Accepting new patients

Locations

821 S Horner Blvd
Sanford, NC 27330
Phone (919) 292-1610

1410 Plaza Dr
Winston Salem, NC 27103
Phone (336) 765-1881

Interoperability endpoints

  • Direct secure messaging: hnewkirk@pfaap-nc.direct.office.nextgen.com

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": "1227312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1891940557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 PLAZA DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031470",
            "telephone_number": "336-768-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 PLAZA DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031470",
            "telephone_number": "336-768-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWKIRK",
        "first_name": "HEIDI",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-22",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "R64964",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NH",
            "license": "0334",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "836",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025592",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.