DR. PETER REDKO DPM NPI 1750456687

NPI Information

  • NPI: 1750456687
  • Provider Name: DR. PETER REDKO, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1400 PROFESSIONAL DRIVE
    SUITE 102
    PETALUMA, CA
    ZIP 94954
  • Phone: (707) 769-8481

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NPI Details

DR. Peter Redko, DPM is a podiatrist in Petaluma, CA with 25 years of experience. 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. Peter Redko, DPM NPI is 1750456687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

1400 PROFESSIONAL DRIVE
SUITE 102
PETALUMA, CA
ZIP 94954-110
Phone: (707) 769-8481
Fax: (707) 769-0751

The NPI 1750456687 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.

  • Epifix, injectable, 1 mg (HCPCS:Q4145)
  • Epifix, per square centimeter (HCPCS:Q4186)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Placement of strapping to ankle or foot (HCPCS:29540)
  • Application of ultrasound, each 15 minutes (HCPCS:97035)
  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Application of vein wound compression bandages on lower leg, ankle, and foot (HCPCS:29581)
  • Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15275)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection into tendon or ligament (HCPCS:20550)
  • Destruction of peripheral nerve or branch (HCPCS:64640)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Evaluation for physical therapy, typically 20 minutes (HCPCS:97161)
  • Complete ultrasound scan of joint (HCPCS:76881)
  • Removal of noncancer thickened skin growth, more than 4 growths (HCPCS:11057)
  • Physician review of gait analysis test (HCPCS:96004)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 11/24/2006 and was last updated on 11/24/2009.

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
1213E00000XPodiatristE4517CALIFORNIAYes

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
1U87641MEDICARE UPINCALIFORNIA

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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