DR. COREY MICHAEL FIDLER D.P.M. NPI 1942566252

NPI Information

  • NPI: 1942566252
  • Provider Name: DR. COREY MICHAEL FIDLER, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3 RIVERSIDE CIR
    ROANOKE, VA
    ZIP 24016
  • Phone: (540) 510-6200

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NPI Details

DR. Corey Michael Fidler, D.P.M. is a foot and ankle surgery podiatrist in Roanoke, VA with 14 years of experience. DR. Corey Michael Fidler, D.P.M. NPI is 1942566252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2012

The provider's business location address is:

3 RIVERSIDE CIR
ROANOKE, VA
ZIP 24016-955
Phone: (540) 510-6200
Fax: (540) 857-5306

The NPI 1942566252 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 skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Partial removal of foot or heel bone (HCPCS:28122)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 4/11/2012 and was last updated on 9/5/2025.

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
1213E00000XPodiatrist0103301175VIRGINIANo
2213ES0103XPodiatristFoot & Ankle Surgery0103301175VIRGINIAYes

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
11942566252OTHERVIRGINIAOPTIMA HEALTH PLAN
21942566252OTHERVIRGINIAHUMANA MEDICARE
3540506332108OTHERVIRGINIATRICARE
41942566252OTHERVIRGINIAVA PREMIER
51942566252OTHERVIRGINIAHEALTHKEEPERS
61942566252OTHERVIRGINIACIGNA
71942566252OTHERVIRGINIAANTHEM
81942566252OTHERVIRGINIAUNITED HEALTHCARE
91942566252OTHERVIRGINIAGATEWAY
101942566252OTHERVIRGINIAHEALTHKEEPERS PLUS
111942566252OTHERVIRGINIAAETNA
121942566252OTHERVIRGINIAUMWA
131942566252MEDICAIDVIRGINIA

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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