Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shawn Michael Sanicola, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1457356305

Dr. Shawn Michael Sanicola, DPM is a Podiatry in Pewaukee, Wisconsin. Graduated from Kent State University College of Podiatric Medicine in 2002, 24 years ago. Practices with Foot and Ankle Associates of Wi Ltd, a 7-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
24
Trained at
Kent State University College of Podiatric Medicine
Licensed in
WI
In the registry since
2005
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2835 N Grandview Blvd Ste 300
Pewaukee, WI 53072-5591
Phone: (262) 542-3779
Fax: (262) 542-4428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 883025 (WI)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 883025 (WI)
Sports Medicine Podiatrist Taxonomy 213ES0000X · Licence 883025 (WI)

Record details

NPI number1457356305
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 16, 2005
Last updated in NPPESFebruary 16, 2022
Certification dateFebruary 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2002 (24 years in practice)
Group practice Foot And Ankle Associates Of Wi Ltd — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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