Individual provider Active NPI

Lyle Sklar, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Boynton Beach, FL
National Provider Identifier
1013923853
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 1398 Issued in FL
Practice address
112 S Federal Hwy
Suite 1
Boynton Beach, FL 33435-4939
Phone
(561) 736-1033
Fax
(561) 404-1445
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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 PO 1398 FL Primary

Addresses

Primary practice location

112 S Federal Hwy
Suite 1
Boynton Beach, FL 33435-4939

Mailing address

112 S Federal Hwy
Suite 1
Boynton Beach, FL 33435-4939
Phone (561) 736-1033

Other identifiers 1

IdentifierTypeStateIssuer
041105100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050830000440 FL Practitioner - Podiatry 5799716692 Practice locations: Boynton Beach, FL
O20100930033567 FL DME Supplier - Physician - Podiatry 9032237888 Practice locations: Boynton Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 S Federal Hwy
Suite 1
Boynton Beach, FL 33435-4939

505 SE 6TH Ave
Boynton Beach, FL 33435-4921
Phone (561) 736-1033

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue80
Removal of skin lesions1-10
Removal of nail tissue359
Removal or shaving of skin growth287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PO 1398FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lyle Sklar Foot & Ankle Surgery CurrentSince Sep 17, 1981 Accepting new patients

Locations

112 S Federal Hwy
Ste 1
Boynton Beach, FL 33435
Phone (407) 736-1033

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1013923853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S FEDERAL HWY",
            "address_2": "SUITE 1",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334354939",
            "telephone_number": "561-736-1033",
            "fax_number": "561-404-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S FEDERAL HWY",
            "address_2": "SUITE 1",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334354939",
            "telephone_number": "561-736-1033",
            "fax_number": "561-404-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLAR",
        "first_name": "LYLE",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 1398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041105100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.