Individual provider Active NPI

Thomas M Pokabla II, DPM

  • Podiatrist
  • Erie, PA
National Provider Identifier
1982641973
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC005720 Issued in PA
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

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101679029MedicaidPA

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
I20060620000217 PA Practitioner - Podiatry 2062424732 Reassigns benefits to 1 organization

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.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians
Bay City Associates in Podiatry IncGroup PAC ID 2668554023, 5 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

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 Hospital, Meadville, PA, CCN 390113
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Upmc Hamot Hospital, Erie, PA, CCN 390063

Merit-based Incentive Payment System (MIPS)

Final score
95.3 of 100Reported as group
Quality
82.28
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue43
Removal of skin lesions16
Removal of nail tissue2168
Removal or shaving of skin growth342
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC005720PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay City Associates in Podiatry Inc CurrentSince Dec 1, 2019 Accepting new patients
Bay City Associates in Podiatry Inc Podiatrist CurrentSince Dec 1, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.