Individual provider Active NPI

Juli Ann Weitzen, DPM

  • Podiatrist
  • Pottstown, PA
National Provider Identifier
1942385810
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC0031963L Issued in PA
Practice address
1610 Medical Dr Ste 103
Pottstown, PA 19464-3279
Phone
(610) 327-8554
Fax
(484) 949-9684
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC003193L PA
Podiatrist 213E00000X SC0031963L PA Primary

Addresses

Primary practice location

1610 Medical Dr Ste 103
Pottstown, PA 19464-3279

Mailing address

1610 Medical Dr Ste 103
Pottstown, PA 19464-3279
Phone (610) 327-8554

Other practice location 1

828 N Hanover Street
Pottstown, PA 19464
Phone (610) 327-8554

Other identifiers 11

IdentifierTypeStateIssuer
232590294OtherPAPEBTF
00083575000OtherPAINDEPENDENCE BLUE CROSS
50001567OtherPACAPITAL BLUE CROSS
2325902940OtherNJHORIZON BC/BS
0741560001OtherPAMEDICARE DMEPOS
1112351MedicaidPA
27-01105OtherPAEVERCARE
T29547OtherPAUPIN
0011123510002MedicaidPA
000143405OtherPAHIGHMARK BLUE SHIELD
A43405OtherPAINTERCOUNTY

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
I20070724000228 PA Practitioner - Podiatry 1850492653 Practice locations: Pottstown, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1610 Medical Dr
Suite 103
Pottstown, PA 19464-3279
Phone (610) 327-8554

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue85
Removal of skin lesions1-10
Removal of nail tissue1172
Removal or shaving of skin growth829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC003193LPAMDPodiatrist
SC0031963LPAMDPodiatrist

Hospital & facility affiliations 2

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1942385810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 MEDICAL DR STE 103",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643279",
            "telephone_number": "610-327-8554",
            "fax_number": "484-949-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MEDICAL DR STE 103",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643279",
            "telephone_number": "610-327-8554",
            "fax_number": "484-949-9684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 N Hanover Street",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "19464",
            "country_code": "US",
            "telephone_number": "610-327-8554",
            "fax_number": "610-323-1406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEITZEN",
        "first_name": "JULI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003193L",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC0031963L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEBTF",
            "identifier": "232590294",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "00083575000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50001567",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BC/BS",
            "identifier": "2325902940",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMEPOS",
            "identifier": "0741560001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1112351",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "27-01105",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T29547",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011123510002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000143405",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERCOUNTY",
            "identifier": "A43405",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.