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Individual provider Active NPI

Michael Allen Garvin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Port St Lucie, FL
National Provider Identifier
1013957166
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO1984 Issued in FL
Practice address
1791 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5479
Phone
(772) 335-7171
Fax
(772) 335-2119
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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 PO1984 FL Primary

Addresses

Primary practice location

1791 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5479

Mailing address

1791 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5479
Phone (772) 335-7171

Other practice location 1

320 NW Bethany Dr
Port Saint Lucie, FL 34986-3578
Phone (772) 871-6020

Other identifiers 1

IdentifierTypeStateIssuer
052018700MedicaidFL

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
I20100720000660 FL Practitioner - Podiatry 9739085333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adnan Shariff IncGroup PAC ID 3375682545, 6 clinicians

Practice addresses (Care Compare)

235 NE 19TH Dr
Okeechobee, FL 34972-1933
Phone (863) 357-1166

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue54
Removal of skin lesions1-10
Removal of nail tissue561
Removal or shaving of skin growth395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a Garvin DPM PA Foot & Ankle Surgery Past Accepting new patients
Michael a Garvin DPM PA Foot & Ankle Surgery Past Accepting new patients
Adnan Shariff DPM PLLC Foot & Ankle Surgery Past Accepting new patients
Gateway Medical Group LC Past Accepting new patients
Michael a Garvin DPM PA Foot & Ankle Surgery Past Accepting new patients
Michael a Garvin DPM PA Past Accepting new patients
Michael a Garvin DPM PA Past Accepting new patients

Organizations & group practices 9

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1013957166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525479",
            "telephone_number": "772-335-7171",
            "fax_number": "772-335-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525479",
            "telephone_number": "772-335-7171",
            "fax_number": "772-335-2119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 NW Bethany Dr",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349863578",
            "country_code": "US",
            "telephone_number": "772-871-6020",
            "fax_number": "772-335-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARVIN",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO1984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052018700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.