Active NPI
Thomas M Pokabla II, DPM
- Podiatrist
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC005720
- Practice address
- 145 W 23Rd St
Suite 302a
Erie, PA 16502-2858 - Phone
- (814) 454-5634
- Fax
- (814) 454-5639
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC005720 | PA | Primary |
Addresses
Primary practice location
145 W 23Rd St
Suite 302a
Erie, PA 16502-2858
Mailing address
3530 Peach St
Suite LL1
Erie, PA 16508-2768
Phone (814) 860-5036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101679029 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novacare Outpatient Rehabilitation East, Inc.Keystone Rehabilitation Systems Inc
Practice addresses (Care Compare)
1012 Water St
Meadville, PA 16335-3468
Phone (814) 337-2345
3850 Walker Blvd
Erie, PA 16509-1627
Phone (814) 864-2360
5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816
Hospital & facility affiliations
- Meadville Medical Center
- Saint Vincent Hospital
- Upmc Hamot
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.3 of 100
- Quality
- 82.28
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 43 |
| Removal of skin lesions | 16 |
| Removal of nail tissue | 2168 |
| Removal or shaving of skin growth | 342 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC005720 | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay City Associates in Podiatry Inc | Current | Accepting new patients | |
| Bay City Associates in Podiatry Inc | Podiatrist | Current | Accepting new patients |
| Saint Vincent Medical Education and Research Institute | Past | Accepting new patients | |
| Penn North Centers for Advanced Wound Care PC | Past | Accepting new patients |
Locations
232 W 25th St
Erie, PA 16544
Phone (814) 452-5337
3850 Walker Blvd
Erie, PA 16509
Phone (814) 860-1661
105 Mead Ave
Ste A
Meadville, PA 16335
Phone (814) 337-3668
105 Mead Ave
Ste C
Meadville, PA 16335
Phone (814) 337-1144
105 Mead Ave
Meadville, PA 16335
Phone (330) 647-6199
Interoperability endpoints
- tpokabla@baycityassociatespodiatry.mdlogic.direct-ci.com
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Erie, PA
- NPI 1659490894
-
- Foot & Ankle Surgery Podiatrist
- Meadville, PA
- NPI 1891345104
-
- Surgery Physician
- Erie, PA
- NPI 1003897307
-
- Family Medicine Physician
- Albion, PA
- NPI 1558462259
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meadville, PA
- NPI 1942276423
-
- General Acute Care Hospital
- Erie, PA
- NPI 1861435042
-
- General Acute Care Hospital
- Erie, PA
- NPI 1487647590
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1982641973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 PEACH ST",
"address_2": "SUITE LL1",
"city": "ERIE",
"state": "PA",
"postal_code": "165082768",
"telephone_number": "814-860-5036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 W 23RD ST",
"address_2": "SUITE 302A",
"city": "ERIE",
"state": "PA",
"postal_code": "165022858",
"telephone_number": "814-454-5634",
"fax_number": "814-454-5639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POKABLA",
"first_name": "THOMAS",
"middle_name": "M",
"name_suffix": "II",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC005720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101679029",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.