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PORT WASHINGTON PODIATRY INC
NPI 1013953926
Podiatrist in Port Washington, WI

Active since June 20, 2006
1317 W GRAND AVENUE, PORT WASHINGTON PODIATRY, PORT WASHINGTON, WI 53074(262) 284-8800(262) 284-8861 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Port Washington Podiatry Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORT WASHINGTON PODIATRY INC (NPI 1013953926) is a healthcare organization registered as a podiatrist in Port Washington, Wisconsin and active in the NPI registry since June 2006. The organization lists Jeffrey Joseph Bongiorno, President, as its authorized official.

NPPES Registry Identity

NPI1013953926
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePORT WASHINGTON PODIATRY INC
Location Address1317 W GRAND AVENUE, PORT WASHINGTON PODIATRYPort Washington, WI 53074
Mailing Address2132 Willow Pond WayGrafton, WI 53024-9102 · (262) 284-8800 · Fax (262) 284-8861
Phone(262) 284-8800
Fax(262) 284-8861
Organization SubpartNo
Authorized OfficialJeffrey Joseph BongiornoPresident · (262) 284-8800
Enumeration DateJune 20, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1013953926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in WI · 798025
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1317 W GRAND AVENUE, Port Washington, WI 53074
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Other Identifiers 4

OtherDB0746Rr Mcr
Medicare UPINU77241
Medicaid43268200WI
Other=========014Blue Cross

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Port Washington Podiatry Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Port Washington Podiatry Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffrey Bongiorno, DPM
Podiatry
NPI 1770599953
1317 W GRAND AVE
Port Washington, WI 53074
(262) 284-8800
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Port Washington Podiatry Inc's NPI number?

The NPI number for Port Washington Podiatry Inc is 1013953926. It was assigned to this organization in the NPPES registry on June 20, 2006.

Where is Port Washington Podiatry Inc located?

Port Washington Podiatry Inc is located at 1317 W Grand Avenue Port Washington Podiatry, Port Washington, WI 53074. The listed phone number is (262) 284-8800.

What is Port Washington Podiatry Inc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Port Washington Podiatry Inc enrolled in Medicare?

Yes. Port Washington Podiatry Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Port Washington Podiatry Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Port Washington Podiatry Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Port Washington Podiatry Inc was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.