Individual provider Active NPI

Scott R Samuelson, DPM

  • Podiatrist
  • Pottstown, PA
National Provider Identifier
1972555936
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC004013L Issued in PA
Practice address
2108 E High Street
Foot & Ankle Health Group PC
Pottstown, PA 19464
Phone
(610) 626-3338
Fax
(610) 326-3992
NPI assigned
May 17, 2006
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC004013L PA Primary

Addresses

Primary practice location

2108 E High Street
Foot & Ankle Health Group PC
Pottstown, PA 19464

Mailing address

2108 E High Street
Foot & Ankle Health Group PC
Pottstown, PA 19464
Phone (610) 626-3338

Other practice location 1

351 W Schuylkill Rd Ste G-15A
Pottstown, PA 19465-7438
Phone (610) 326-9460

Other identifiers 1

IdentifierTypeStateIssuer
001588191MedicaidPA

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
I20101210000529 PA Practitioner - Podiatry 6305844994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Foot and Ankle Health Group PCGroup PAC ID 4587645601, 6 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

2108 E High St
Pottstown, PA 19464-3214
Phone (610) 326-3338

351 W Schuylkill Rd
Suite G 15a
Pottstown, PA 19465-7438
Phone (610) 326-9460

67 S Lewis Rd
Royersford, PA 19468-2432
Phone (610) 948-8585

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue257
Removal of skin lesions29
Removal of nail tissue1759
Removal or shaving of skin growth861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC004013LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health and Dental Care, Inc CurrentSince May 11, 2022 Accepting new patients
Foot & Ankle Health Group PC Podiatrist CurrentSince Oct 22, 1996 Accepting new patients
Community Health and Dental Care, Inc CurrentSince May 11, 2022 Accepting new patients
Foot & Ankle Health Group PC Podiatrist CurrentSince Oct 22, 1996 Accepting new patients
Foot & Ankle Health Group PC Podiatrist Current Accepting new patients
Foot & Ankle Health Group PC Podiatrist Past Accepting new patients

Locations

20 E Philadelphia Ave
Boyertown, PA 19512
Phone (610) 367-6074

2108 E High St
Pottstown, PA 19464
Phone (610) 326-3338

2108 E High St
Ste B
Pottstown, PA 19464
Phone (610) 326-3338

351 W Schuylkill Rd
Ste G15A
Pottstown, PA 19465
Phone (484) 948-3097

700 Heritage Dr
Ste 701
Pottstown, PA 19464
Phone 6103269460193

933 N Charlotte St
Pottstown, PA 19464
Phone (610) 323-5545

933 N Charlotte St
Ste 2C
Pottstown, PA 19464
Phone (610) 326-3338

67 S Lewis Rd
Royersford, PA 19468
Phone (610) 948-8585

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: scott.samuelson.p1@direct.chdc.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1972555936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 E HIGH STREET",
            "address_2": "FOOT & ANKLE HEALTH GROUP PC",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "610-626-3338",
            "fax_number": "610-326-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 E HIGH STREET",
            "address_2": "FOOT & ANKLE HEALTH GROUP PC",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "610-626-3338",
            "fax_number": "610-326-3992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 W Schuylkill Rd Ste G-15A",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "194657438",
            "country_code": "US",
            "telephone_number": "610-326-9460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "SCOTT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004013L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001588191",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.