Individual provider Active NPI

Anthony J Emelianchik, DPM

  • Foot Surgery Podiatrist
  • Eustis, FL
National Provider Identifier
1003864042
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO 2285 Issued in FL
Practice address
2051 Prevatt St
Suite B
Eustis, FL 32726-6141
Phone
(352) 589-4601
Fax
(352) 589-1998
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO 2285 FL
Foot Surgery Podiatrist 213ES0131X PO 2285 FL Primary

Addresses

Primary practice location

2051 Prevatt St
Suite B
Eustis, FL 32726-6141

Mailing address

2051 Prevatt St
Suite B
Eustis, FL 32726-6141
Phone (352) 589-4601

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
I20050812000429 FL Practitioner - Podiatry 3173553872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2051 Prevatt St
Suite B
Eustis, FL 32726-6141
Phone (352) 589-4601

Hospital & facility affiliations

  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue224
Removal of skin lesions1-10
Removal of nail tissue51
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 2285FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Emelianchik DPM PA Podiatrist CurrentSince Jun 1, 2006 Accepting new patients
Pascarella, Hoover, Finkelstein & Wagner, DPM, PA Foot Surgery Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Robert a Krauklis DPM LLC Podiatrist Past Accepting new patients

Locations

2051 Prevatt St
Ste B
Eustis, FL 32726
Phone (352) 589-4601

Networks

  • FL HMO D-SNP
  • FL HMO
  • FL PPO
  • FL HMO C-SNP

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1003864042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 PREVATT ST",
            "address_2": "SUITE B",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266141",
            "telephone_number": "352-589-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 PREVATT ST",
            "address_2": "SUITE B",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266141",
            "telephone_number": "352-589-4601",
            "fax_number": "352-589-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMELIANCHIK",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 2285",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO 2285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

Verify at the official NPI Registry.