MICHAEL L WACH DPM PODIATRY CORP
NPI 1700133931
Podiatrist - Primary Podiatric Medicine in Indio, CA

Active since August 07, 2012
82935 AVENUE 48 STE 102, INDIO, CA 92201(801) 878-9321(801) 878-9382 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Michael L Wach Dpm Podiatry Corp NPPES

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

MICHAEL L WACH DPM PODIATRY CORP (NPI 1700133931) is a healthcare organization registered as a primary podiatric medicine in Indio, California and active in the NPI registry since August 2012. The organization maintains 2 additional practice locations and lists Michael Lynn Wach, Owner, as its authorized official.

NPPES Registry Identity

NPI1700133931
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameMICHAEL L WACH DPM PODIATRY CORP
Location Address82935 AVENUE 48 STE 102Indio, CA 92201-6757
Mailing Address82935 Avenue 48 Ste 102Indio, CA 92201-6757 · (801) 878-9321 · Fax (801) 878-9382
Fax(801) 878-9382
Organization SubpartNo
Authorized OfficialMichael Lynn WachOwner · (323) 749-6950
Enumeration DateAugust 7, 2012
Last NPPES UpdateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1700133931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in CA · E4125
82935 AVENUE 48 STE 102, Indio, CA 92201

Secondary Practice Locations 2

Location 1604 E HobsonwayBlythe, CA 92225-1739 · Phone (760) 278-5700 · Fax (760) 278-5702
Location 23100 E Florence Ave Ste 4Huntington Park, CA 90255-5848 · Phone (323) 749-6950 · Fax (323) 749-6951

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael L Wach Dpm Podiatry Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20121009000782Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michael L Wach DPM Podiatry Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1265469084
3100 E FLORENCE AVE STE 4
Huntington Park, CA 90255
(323) 749-6950
✔ PECOS✔ Accepts Medicare116 mi

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 Michael L Wach Dpm Podiatry Corp's NPI number?

The NPI number for Michael L Wach Dpm Podiatry Corp is 1700133931. It was assigned to this organization in the NPPES registry on August 7, 2012.

Where is Michael L Wach Dpm Podiatry Corp located?

Michael L Wach Dpm Podiatry Corp is located at 82935 Avenue 48 Ste 102, Indio, CA 92201. The listed phone number is (801) 878-9321.

What is Michael L Wach Dpm Podiatry Corp's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Michael L Wach Dpm Podiatry Corp enrolled in Medicare?

Yes. Michael L Wach Dpm Podiatry Corp is registered in the Medicare PECOS enrollment system.

When is Michael L Wach Dpm Podiatry Corp's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Michael L Wach Dpm Podiatry Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Michael L Wach Dpm Podiatry Corp. 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 Michael L Wach Dpm Podiatry Corp was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.