Port Washington Podiatry Inc
NPI 1013953926ActiveOrganization· Podiatrist· Port Washington, WI
Podiatrist in Port Washington, Wisconsin, registered in NPPES in June 2006. The authorized official on file is Jeffrey Joseph Bongiorno, DPM, President. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1013953926 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2006 |
| Last updated in NPPES | Apr 20, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 798025 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (WI); Part B Supplier - Clinic/Group Practice (WI) |
|---|
Other Podiatrist providers in Port Washington
- 1770599953