Mypafootdoctor
NPI 1538514492 · Podiatrist · Hanover, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mypafootdoctor is a Podiatrist organization in Hanover, PA (NPI 1538514492).
Provider details
- NPI number
- 1538514492
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Jim Maxka, Sole Owner(717) 524-1034
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Podiatric Clinic/Center261QP1100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- South Penn Foot, Ankle and Wound Care Specialists
Registry dates
- Enumerated
- 2016-04-28
- Last updated
- 2023-04-30
- Certified
- 2023-04-30
Frequently asked questions
- What is Mypafootdoctor's NPI number?
- Mypafootdoctor's National Provider Identifier (NPI) is 1538514492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mypafootdoctor?
- Mypafootdoctor is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Mypafootdoctor located?
- Mypafootdoctor's practice location on file with NPPES is 1055 Baltimore St Ste 1, Hanover, PA 17331-4400.
- What is Mypafootdoctor's phone number?
- The practice phone number listed in the NPPES registry for Mypafootdoctor is (717) 524-1034.
- Does Mypafootdoctor accept Medicare?
- Mypafootdoctor is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mypafootdoctor?
- The authorized official listed on Mypafootdoctor's NPPES record is Jim Maxka, Sole Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mypafootdoctor's NPI active?
- Yes — Mypafootdoctor's NPI (1538514492) is active in the NPPES registry as of the last update on 2023-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.