DR. JOHN L BOSTANCHE D.P.M. NPI 1821092420

NPI Information

  • NPI: 1821092420
  • Provider Name: DR. JOHN L BOSTANCHE, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6123 GREEN BAY RD
    STE 100
    KENOSHA, WI
    ZIP 53142
  • Phone: (262) 657-3668

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NPI Details

DR. John L Bostanche, D.P.M. is a foot and ankle surgery podiatrist in Kenosha, WI with 36 years of experience. DR. John L Bostanche, D.P.M. NPI is 1821092420. 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:1990

The provider's business location address is:

6123 GREEN BAY RD
STE 100
KENOSHA, WI
ZIP 53142-939
Phone: (262) 657-3668
Fax: (262) 652-0564

The NPI 1821092420 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)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Placement of strapping to ankle or foot (HCPCS:29540)
  • Aspiration and/or injection of fluid from small joint using ultrasound guidance (HCPCS:20604)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 6/10/2005 and was last updated on 5/5/2010.

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
1213ES0103XPodiatristFoot & Ankle Surgery016004510ILLINOISNo
2213ES0103XPodiatristFoot & Ankle Surgery654025WISCONSINYes

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
1U18653MEDICARE UPIN
2000082311MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
343215000MEDICAIDWISCONSIN
41821092420MEDICARE NSCWISCONSIN

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

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