NPIMap

Organization Active NPI

Berks Foot and Ankle Surgical Associates, Inc

  • Foot & Ankle Surgery Podiatrist
  • Hamburg, PA
National Provider Identifier
1902826829
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC002677-L Issued in PA
Legal business name
BERKS FOOT AND ANKLE SURGICAL ASSOCIATES, INC
Practice address
260 State St Ste 2
Hamburg, PA 19526-1823
Phone
(610) 562-4999
NPI assigned
Jul 21, 2006
Last updated
Jul 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BERKS FOOT & ANKLE SURGICAL ASSOC., INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Suzie K Sattizahn
Title
Office Manager
Phone
(610) 796-9522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC002677-L PA Primary

Addresses

Primary practice location

260 State St Ste 2
Hamburg, PA 19526-1823

Mailing address

260 State St
Suite 2
Hamburg, PA 19526-1823
Phone (610) 562-4999

Other identifiers 6

IdentifierTypeStateIssuer
20017609OtherPAAMERIHEALTH
02340800OtherCAPITOL BLUE CROSS
668116OtherHIGHMARK BLUE SHIELD
0010441170005MedicaidPA
2101100000OtherPAINDEPENDENCE BLUE CROSS
668116OtherMEDICARE

Other names 1

  • Hamburg Podiatry Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040806000514 PA Part B Supplier - Clinic/Group Practice 8527030089 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hamburg, PA; Shillington, PA
O20100930059786 PA DME Supplier - Physician - Podiatry 8527030089 Practice locations: Hamburg, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Berks Foot Ankle Surg a2 organizations share this tax ID, including this one
Part of
Berks Foot Ankle Surg a

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

260 State St
#2
Hamburg, PA 19526
Phone (610) 562-4999

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1902826829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 STATE ST",
            "address_2": "SUITE 2",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195261823",
            "telephone_number": "610-562-4999",
            "fax_number": "610-562-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 STATE ST STE 2",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195261823",
            "telephone_number": "610-562-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKS FOOT AND ANKLE SURGICAL ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERKS FOOT & ANKLE SURGICAL ASSOC., INC.",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "SATTIZAHN",
        "authorized_official_first_name": "SUZIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-796-9522"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC002677-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "20017609",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITOL BLUE CROSS",
            "identifier": "02340800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "668116",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010441170005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2101100000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "668116",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamburg Podiatry Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Hamburg Podiatry Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hamburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.