BART WAYNE GASTWIRTH D.P.M. NPI 1568459030

NPI Information

NPI: 1568459030
Provider Name: BART WAYNE GASTWIRTH, D.P.M.
Classification: Podiatrist - 213ES0131X
Specialization: Foot Surgery
Entity Type: Individual
PECOS Registration: Yes
Address: 1802 S MATTIS AVE
CHAMPAIGN, IL
ZIP 61821
Phone: (217) 383-3260

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NPI Details

Bart Wayne Gastwirth, D.P.M. is a foot surgery podiatrist in Champaign, IL with 48 years of experience. Bart Wayne Gastwirth, D.P.M. NPI is 1568459030. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1977

The provider's business location address is:

1802 S MATTIS AVE
CHAMPAIGN, IL
ZIP 61821-923
Phone: (217) 383-3260
Fax: (217) 383-4459

The NPI 1568459030 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

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.

Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Trimming of fingernails or toenails (HCPCS:11719)
Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)

The enumeration date for this NPI number is 9/30/2005 and was last updated on 10/18/2016.

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
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	016-002956	ILLINOIS	No
2	213ES0000X	Podiatrist	Sports Medicine	016-0002956	ILLINOIS	No
3	213ER0200X	Podiatrist	Radiology	016-002956	ILLINOIS	No
4	213E00000X	Podiatrist		016-0002956	ILLINOIS	No
5	213ES0131X	Podiatrist	Foot Surgery	016-002956	ILLINOIS	Yes

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
1	60001121	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
2	T36990	MEDICARE UPIN

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: 3/30/2025

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