DR. JOHN MICHAEL FANELLY DPM NPI 1164403697

NPI Information

  • NPI: 1164403697
  • Provider Name: DR. JOHN MICHAEL FANELLY, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • Address: 6650 FRANKFORD AVE
    PHILADELPHIA, PA
    ZIP 19135
  • Phone: (215) 335-3338

Map and Directions

Get Directions

NPI Details

DR. John Michael Fanelly, DPM is a podiatrist in Philadelphia, PA. The provider is 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. DR. John Michael Fanelly, DPM NPI is 1164403697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6650 FRANKFORD AVE
PHILADELPHIA, PA
ZIP 19135-540
Phone: (215) 335-3338
Fax: (215) 335-9844

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Trimming of dystrophic nails, any number (HCPCS:G0127)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Initial nursing facility visit per day, typically 25 minutes (HCPCS:99304)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Removal of noncancer thickened skin growth, more than 4 growths (HCPCS:11057)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • New patient home visit, typically 20 minutes (HCPCS:99341)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient home visit, typically 15 minutes (HCPCS:99347)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Simple or single drainage of skin abscess (HCPCS:10060)

The enumeration date for this NPI number is 11/10/2005 and was last updated on 12/7/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristSC002579LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1FA117933MEDICARE PINPENNSYLVANIA
2FA117933MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
3T29204MEDICARE UPINPENNSYLVANIA
40951030001MEDICARE NSCPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.