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Individual provider Active NPI

Edgar Francis Eusoof Sy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pembroke Pines, FL
National Provider Identifier
1013478924
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4478 Issued in FL
Practice address
10041 Pines Blvd Ste E
Pembroke Pines, FL 33024-6170
Phone
(954) 437-0200
NPI assigned
Mar 26, 2019
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016005967 IL
Foot & Ankle Surgery Podiatrist 213ES0103X PO4478 FL Primary

Addresses

Primary practice location

10041 Pines Blvd Ste E
Pembroke Pines, FL 33024-6170

Mailing address

10041 Pines Blvd Ste E
Pembroke Pines, FL 33024-6170
Phone (142) 696-5767

Other names 1

  • Dr. Edgar Francis Eusoof Sy Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230316002517 FL Practitioner - Podiatry 4284011461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barry University IncGroup PAC ID 3870499718, 8 clinicians

Practice addresses (Care Compare)

160 NW 170 St
North Miami Beach, FL 33169-5521
Phone (305) 651-1100

16800 NW 2ND Ave
Suite 202
North Miami Beach, FL 33169-5504
Phone (305) 693-7287

3659 S Miami Ave
Suite 3008
Miami, FL 33133-4225
Phone (305) 859-7777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue38
Removal of skin lesions1-10
Removal of nail tissue21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barry University Inc Foot & Ankle Surgery CurrentSince Jul 1, 2024 Accepting new patients
Barry University Inc Foot & Ankle Surgery Current Accepting new patients
Barry University Inc Foot & Ankle Surgery Past Accepting new patients

Locations

3659 S Miami Ave
Ste 3008
Miami, FL 33133
Phone (305) 859-7777

11300 NE 2nd Ave
Miami Shores, FL 33161
Phone (305) 899-3000

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

Organizations & group practices 3

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

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1013478924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10041 PINES BLVD STE E",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246170",
            "telephone_number": "142-696-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10041 PINES BLVD STE E",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246170",
            "telephone_number": "954-437-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SY",
        "first_name": "EDGAR FRANCIS",
        "middle_name": "EUSOOF",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005967",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDGAR FRANCIS",
            "last_name": "SY",
            "middle_name": "EUSOOF",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.