MEDICARE: DR. RANDY MICHAEL SMARGIASSI DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	SC004439L	PA
2	213E00000X	Podiatrist	SC004439L	PA
3	213EP1101X	Primary Podiatric Medicine Podiatrist	SC004439L	PA
4	213ER0200X	Radiology Podiatrist	SC004439L	PA
5	213ES0000X	Sports Medicine Podiatrist	SC004439L	PA
6	213ES0131X	Foot Surgery Podiatrist	SC004439L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407828825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANDY MICHAEL SMARGIASSI DPM

Provider Business Mailing Address
First Line	:	6 HEARTHSTONE CT STE 102
Second Line	:
City	:	READING
State	:	PA
Zip	:	19606-3065
Country	:	US
Telephone Number	:	610-779-3643
Fax Number	:	610-779-3841

Provider Business Practice Location Address
First Line	:	6 HEARTHSTONE CT STE 102
Second Line	:
City	:	READING
State	:	PA
Zip	:	19606-3065
Country	:	US
Telephone Number	:	610-779-3643
Fax Number	:	610-779-3841

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	01/09/2026

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Directions to “ DR. RANDY MICHAEL SMARGIASSI DPM” Practice Location

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