MICHAL MARCIN SZPARA DPM
NPI 1225551187
Podiatrist - Foot & Ankle Surgery in Pawtucket, RI

Q: What is Michal Szpara's NPI number?

The NPI number for Michal Szpara is 1225551187. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Q: What is Michal Szpara's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Michal Szpara was last updated on July 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 24, 2017PECOS Enrolled

0/100

CMS Quality Rating

111 BREWSTER ST, PAWTUCKET, RI 02860(401) 729-2000 Get Directions Write a Review

NPPES record last updated: July 24, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Michal Marcin Szpara Dpm NPPES

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

MICHAL MARCIN SZPARA DPM (NPI 1225551187) is an individual foot & ankle surgery provider in Pawtucket, Rhode Island, licensed in Rhode Island (LPR00181) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Temple University School Of Medicine (2017).

NPPES Registry Identity

NPI1225551187

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameMICHAL MARCIN SZPARACredential: DPM

Location Address111 BREWSTER STPawtucket, RI 02860-4474

Mailing Address80 Bullard CtStratford, CT 06614-4529 · (203) 767-8478

Phone(401) 729-2000

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2017

Enumeration DateJuly 24, 2017

✔ NPI 1225551187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in RI · LPR00181

111 BREWSTER ST, Pawtucket, RI 02860

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michal Marcin Szpara Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052685435

PECOS Enrollment IDI20200814001606, I20200915003623

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michal Szpara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coastline Foot And Ankle Specialists LLC

56 mi

Podiatrist

131 BOSTON POST RD
East Lyme, CT 06333

Reassigned Medicare billing, Connecticut and Rhode Island enrollments
4 clinicians in this Medicare group

NPI 1245938323 (860) 739-1944

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

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

676 services228 patients

Trimming of fingernails or toenails 11719

Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.

494 services159 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

483 services155 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

381 services172 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

260 services91 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

193 services101 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

119 services49 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

108 services33 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

102 services102 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

69 services53 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

52 services19 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

30 services21 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

29 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services23 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

20 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Westerly Hospital

Acute Care Hospitals · Westerly, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410013

Location25 Wells StreetWesterly, RI 02891 · Washington County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAHMOUD MOWAFY M.D.

Internal Medicine

111 BREWSTER ST
PAWTUCKET, RI 02860

Providence County (401) 729-2258

ASHLEY NANCY MASTRANGELO DPM

Podiatrist (Foot & Ankle Surgery)

111 BREWSTER ST
PAWTUCKET, RI 02860

Providence County (401) 729-2977

JOHN RIEDEL MD

Emergency Medicine

111 BREWSTER ST, DEPARTMENT OF EMERGENCY MEDICINE
PAWTUCKET, RI 02860

Providence County (401) 729-2191

MEMORIAL HOSPITAL

General Acute Care Hospital

111 BREWSTER ST
PAWTUCKET, RI 02860

Providence County (401) 729-2836

JALEH FALLAH MD

Internal Medicine (Hematology & Oncology)

111 BREWSTER ST
PAWTUCKET, RI 02860

Providence County (401) 729-2258

MS. COLLEEN FOLEY-LUNT

Speech-Language Pathologist

111 BREWSTER ST, SPEECH LANGUAGE PATHOLOGY
PAWTUCKET, RI 02860

Providence County (508) 729-2316

MAXWELL VAN HOVEN MD

Family Medicine

111 BREWSTER ST
PAWTUCKET, RI 02860

Providence County (401) 737-7000

SCOTT MICHAEL CAMPBELL

Physical Therapist

111 BREWSTER ST, ND PHYSICAL THERAPY
PAWTUCKET, RI 02860

Providence County (401) 729-3481

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 Michal Szpara's NPI number?

The NPI number for Michal Szpara is 1225551187. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Where is Michal Szpara located?

Michal Szpara practices at 111 Brewster St, Pawtucket, RI 02860. The listed phone number is (401) 729-2000.

What is Michal Szpara's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Michal Szpara enrolled in Medicare?

Yes. Michal Szpara is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michal Szpara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michal Szpara reassigns Medicare benefits to Coastline Foot And Ankle Specialists LLC (East Lyme, CT). The 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 Michal Szpara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michal Szpara accept?

Health plans from Anthem Blue Cross and Blue Shield list Michal Szpara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michal Szpara affiliated with any hospitals?

According to CMS data, Michal Szpara is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Michal Szpara was last updated on July 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.