DR. CORINNA CASTILLO PESLAK (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1790304863

DR. CORINNA CASTILLO PESLAK (DPM) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. SC007103 (PA). The NPI Number for DR. CORINNA CASTILLO PESLAK (DPM) is 1790304863

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. CORINNA CASTILLO PESLAK (DPM)
NPI
1790304863
Phone
(215) 335-1914
Address
2701 Holme Ave Ste 204
Enumeration Date
9 April 2020
Last Update Date
17 December 2024

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
2154239708
Graduation Year
2020 (6 years ago)
PAC ID
1052776622
Group Practice PAC ID
8820060957
Professional Enrollment ID
I20230807000214
Address ID
PA191251011PH139XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,283 PODIATRY in PA

Provider Addresses for DR. CORINNA CASTILLO PESLAK (DPM)

  • 2701 Holme Ave Ste 204

    Philadelphia, PA 191522029

    Phone: (215) 335-1914

    Fax: (215) 335-1915

    Type: Location

  • 1501 Lansdowne Ave Ste 304

    Darby, PA 190231333

    Phone: (610) 623-1599

    Type: Location

  • 2601 HOLME AVE RM 306

    PHILADELPHIA, PA 191522007

    Phone:

    Type: Mailing

  • 2701 HOLME AVE STE 204

    PHILADELPHIA, PA 191522029

    Phone: (215) 335-1914

    Fax: (215) 335-1915

    Type: Mailing

  • 139 E LEHIGH AVE

    PHILADELPHIA, PA 191251011

    Phone: (215) 423-9708

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $5,091.

Total Amount is formed as General ($5,091) + Research ($0) + Ownership ($0) = $5,091.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Stryker Corporation ($2,115).

Total Amount

$5,091

General + Research + Ownership

Payments

83

Total payment records

General Amount

$5,091

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230807000214IPodiatryPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19152)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820060957View full group profile
NameSpecialtyState
P O D I A T R YPA
-PA

Reviews

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Frequently asked questions

Does DR. CORINNA CASTILLO PESLAK (DPM) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. CORINNA CASTILLO PESLAK (DPM) uses 1790304863.
Does the file indicate DR. CORINNA CASTILLO PESLAK (DPM) is practicing under active NPI?
Directory data currently reports DR. CORINNA CASTILLO PESLAK (DPM) as active.
What taxonomy line describes DR. CORINNA CASTILLO PESLAK (DPM)?
For research purposes, treat DR. CORINNA CASTILLO PESLAK (DPM) as Foot & Ankle Surgery Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. CORINNA CASTILLO PESLAK (DPM)?
DR. CORINNA CASTILLO PESLAK (DPM)'s geographic hint is Philadelphia, Pennsylvania in our summary view.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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