Kornely Podiatry, LLC
NPI 1861449720ActiveOrganization· Podiatrist· West Bend, WI
Podiatrist in West Bend, Wisconsin, registered in NPPES in May 2006. The authorized official on file is Lisa G. Kornely, DPM, Owner. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1861449720 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2006 |
| Last updated in NPPES | Feb 1, 2022 |
| Certified by provider | Feb 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 774-025 | WI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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) |
|---|
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