Individual provider Active NPI

Alberto Herrada, DPM

  • Foot & Ankle Surgery Podiatrist
  • Davie, FL
National Provider Identifier
1013906965
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO02861 Issued in FL
Practice address
10600 Griffin Rd
Suite 107
Davie, FL 33328-3208
Phone
(954) 434-9877
Fax
(954) 434-9881
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO02861 FL Primary

Addresses

Primary practice location

10600 Griffin Rd
Suite 107
Davie, FL 33328-3208

Mailing address

10600 Griffin Rd
Suite 107a
Davie, FL 33328-3208
Phone (954) 434-9877

Other identifiers 1

IdentifierTypeStateIssuer
340154500MedicaidFL

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
I20050331000974 FL Practitioner - Podiatry 1456308568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10600 Griffin Rd
107A
Davie, FL 33328-3208
Phone (954) 434-9877

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue143
Removal of nail tissue107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO02861FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alberto Herrada DPM PA CurrentSince Nov 7, 2007 Accepting new patients
Lauderdale Orthopaedic Surgeons LLP Past Accepting new patients
Lauderdale Orthopaedic Surgeons LLP Past Accepting new patients

Locations

10600 Griffin Rd
Ste 107A
Davie, FL 33328
Phone (954) 434-9877

10600 Griffin Rd
Ste 107
Davie, FL 33328
Phone (954) 434-9877

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 2

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1013906965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 GRIFFIN RD",
            "address_2": "SUITE 107A",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283208",
            "telephone_number": "954-434-9877",
            "fax_number": "954-434-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 GRIFFIN RD",
            "address_2": "SUITE 107",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283208",
            "telephone_number": "954-434-9877",
            "fax_number": "954-434-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRADA",
        "first_name": "ALBERTO",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO02861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340154500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.