Beverly Hills Foot and Ankle, P.a.

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

PO3609 Issued in FL

Legal business name

BEVERLY HILLS FOOT AND ANKLE, P.A.

Practice address

3404 N Lecanto Hwy
Suite a
Beverly Hills, FL 34465-3569

Phone

(352) 513-4867

Fax

(888) 314-9873

NPI assigned

Jun 23, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nisha Bala Krishnan, D.P.M.NPI 1275822256

Title

President

Phone

(352) 513-4867

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nisha Bala Krishnan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Beverly Hills, FL
  • NPI 1275822256

  FL

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1003221706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 N LECANTO HWY STE A",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653569",
            "telephone_number": "352-513-4867",
            "fax_number": "888-314-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 N LECANTO HWY",
            "address_2": "SUITE A",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653569",
            "telephone_number": "352-513-4867",
            "fax_number": "888-314-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HILLS FOOT AND ANKLE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "NISHA",
        "authorized_official_middle_name": "BALA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-513-4867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "FL",
            "license": "PO3609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Bassett, BA
• Cecilia E Bato, MSN CCRN ACNP ARNP
• Sandra J Baumstark, MOTR, L,MPH
• Gauruv Bedi, MD
• Adelle Rae Bellamy
• Bhavesh Bhakta
• Leena Binus
• Nona Elizabeth Boone, PH.D.
• Dianna Jean Borrmann, R.M.A.
• Azael P Borromeo, M.D.

• All providers in Beverly Hills, FL
• Podiatric Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.