Marisel Medina, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3198 Issued in FL

Practice address

600 S Pine Island Rd
# 300
Plantation, FL 33324-3166

Phone

(954) 473-6344

Fax

(954) 473-8119

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Podiatry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Orthopaedic Center of S FloridaGroup PAC ID 4082677315, 21 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Orthopaedic Center of S Florida

  • Orthopaedic Surgery Physician
  • Plantation, FL
  • NPI 1093818171
  Medicare reassignment Care Compare group NPD
• Marisel Medina DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
  • NPI 1588768733
  NPD (past) Authorized official

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1023052214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S PINE ISLAND RD",
            "address_2": "# 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243166",
            "telephone_number": "954-473-6344",
            "fax_number": "954-473-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PINE ISLAND RD",
            "address_2": "# 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243166",
            "telephone_number": "954-473-6344",
            "fax_number": "954-473-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MARISEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@ocsfdocs.exscribedirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "600 S Pine Island Rd",
            "address_2": "# 300",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333243166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Medfund LLC
• Medical Support Management
• Medikarma, Inc
• Yeney Medina Arencibia, BCBA, IBA, LBA (NC)
• Ashley Medina-Yntema, CCC-SLP
• Sarah Joyce Medley, MD
• Gustavo J. Medosky, L.M.T.
• Medwiseus LLC
• Medx Medical Center Inc.
• Meghan Victoria Meerbott, PHARMD

• Foot & Ankle Surgery Podiatrist in Plantation, FL
• Providers in Plantation, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.