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MACKENZIE GRACE BOBIY DPM
NPI 1508543588
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since June 30, 2023PECOS Enrolled
10800 KNIGHTS RD, PHILADELPHIA, PA 19114(215) 612-5161 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2026, Jul 3, 2024 (2 updates tracked since 2024).

About Mackenzie Grace Bobiy Dpm NPPES

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

MACKENZIE GRACE BOBIY DPM (NPI 1508543588) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (SC007333) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Marietta, and is a graduate of Temple University School Of Podiatric Medicine (2023).

NPPES Registry Identity

NPI1508543588
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMACKENZIE GRACE BOBIYCredential: DPM
Location Address10800 KNIGHTS RDPhiladelphia, PA 19114-4200
Mailing Address10800 Knights RdPhiladelphia, PA 19114-4200 · (215) 612-5161
Phone(215) 612-5161
Sole ProprietorNo
Medical School CMSTemple University School Of Podiatric MedicineGraduated 2023
Enumeration DateJune 30, 2023
Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1508543588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PA · SC007333
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License POD305082 (GA)
10800 KNIGHTS RD, Philadelphia, PA 19114
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Secondary Practice Location 1

Location 11075 Whitlock Ave SW Ste IMarietta, GA 30064-1996 · Phone (678) 215-1882

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie Grace Bobiy Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133697766
PECOS Enrollment IDI20260501002226
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.

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.

MANSI SHETH DO
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-5161
CHERYL LYNNE GEE-MAURER CRNP
Nurse Practitioner (Primary Care)
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
HEATHER MOORE RN
Nurse Anesthetist, Certified Registered
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
IAN LUMSDEN PA-C
Surgery (Trauma Surgery)
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4064
PETER J GRELLA
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-5161
DR. KRISHNA KOTHAMASU DO
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
GRETCHEN DAWN OVERTON DPM
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-5161
MS. BONNIE VITTI-HUOT PA-C
Physician Assistant
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000

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 Mackenzie Bobiy's NPI number?

The NPI number for Mackenzie Bobiy is 1508543588. It was assigned to this individual provider in the NPPES registry on June 30, 2023.

Where is Mackenzie Bobiy located?

Mackenzie Bobiy practices at 10800 Knights Rd, Philadelphia, PA 19114. The listed phone number is (215) 612-5161.

What is Mackenzie Bobiy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mackenzie Bobiy enrolled in Medicare?

Yes. Mackenzie Bobiy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mackenzie Bobiy was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.