Individual provider Active NPI

Scott Paul Kurecki, D.P.M.

  • Podiatrist
  • North Port, FL
National Provider Identifier
1003852450
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO0001946 Issued in FL
Practice address
12757 Tamiami TRL S
North Port, FL 34287-1934
Phone
(941) 426-1167
Fax
(941) 426-2571
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO0001946 FL Primary

Addresses

Primary practice location

12757 Tamiami TRL S
North Port, FL 34287-1934

Mailing address

12757 Tamiami TRL S
North Port, FL 34287-1934
Phone (941) 426-1167

Other identifiers 4

IdentifierTypeStateIssuer
N7786OtherFLMEDICARE EDI SENDER NUMBR
029759300MedicaidFL
480007561OtherFLRAILROAD MEDICARE
65088OtherFLBC/BS OF FLORIDA

Other names 1

  • Scott P Kurecki Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100616000064 FL Practitioner - Podiatry 2961571583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott P Kurecki DPM PAGroup PAC ID 4587794615, 2 clinicians

Practice addresses (Care Compare)

12757 S Tamiami TRL
North Port Foot and Ankle
North Port, FL 34287-1934
Phone (941) 426-1167

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue169
Removal of skin lesions28
Removal of nail tissue1222
Removal or shaving of skin growth768
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO0001946FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott P Kurecki DPM PA CurrentSince Dec 22, 1995 Accepting new patients

Locations

12757 Tamiami Trl S
North Port, FL 34287
Phone (941) 426-1167

Interoperability endpoints

  • Direct secure messaging: drkurecki@spkdp-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1003852450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12757 TAMIAMI TRL S",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871934",
            "telephone_number": "941-426-1167",
            "fax_number": "941-426-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12757 TAMIAMI TRL S",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871934",
            "telephone_number": "941-426-1167",
            "fax_number": "941-426-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURECKI",
        "first_name": "SCOTT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO0001946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE EDI SENDER NUMBR",
            "identifier": "N7786",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029759300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480007561",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FLORIDA",
            "identifier": "65088",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "KURECKI",
            "middle_name": "P",
            "credential": "DPM PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Port, FL

Sources for this page

Verify at the official NPI Registry.