Kevin Allen Tootle, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO4048 Issued in FL

Practice address

3900 Lake Center Dr Ste A1
Mount Dora, FL 32757-2203

Phone

(525) 627-5903

Fax

(352) 663-8530

NPI assigned

Jun 17, 2016

Last updated

Feb 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Barry University School of Podiatric Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Florida Foot and Ankle Institute, LLCGroup PAC ID 5698111243, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Waterman Hospital, Tavares, FL, CCN 100057
• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• FL PPO
• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Central Florida Foot and Ankle Institute, LLC

  • Podiatrist
  • Lake Mary, FL
  • NPI 1346018389
  Medicare reassignment Care Compare group NPD
• Innovative Foot and Ankle Specialists PLLC

  • Foot & Ankle Surgery Podiatrist
  • Mount Dora, FL
  • NPI 1457197873
  Medicare reassignment NPD Authorized official
• Knock Your Socks Off Foot & Ankle Specialist LLC

  • Foot & Ankle Surgery Podiatrist
  • North Miami Beach, FL
  • NPI 1063920338
  Medicare reassignment NPD
• Lake Mary Family Care P a

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1649346826
  NPD
• Celebration Orthopedic and Sports Medicine Institute Inc

  • Orthopaedic Surgery Physician
  • Orlando, FL
  • NPI 1659254456
  NPD (past)

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

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• Florida Hospital Waterman Inc

  dba AdventHealth Waterman

  • General Acute Care Hospital
  • Tavares, FL
  • NPI 1821019571
  Care Compare affiliation

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1023468295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770754",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347770754",
            "telephone_number": "352-562-7590",
            "fax_number": "352-663-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 LAKE CENTER DR STE A1",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572203",
            "telephone_number": "525-627-5903",
            "fax_number": "352-663-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOTLE",
        "first_name": "KEVIN",
        "middle_name": "ALLEN",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Thomas, APRN
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• Kasey Titkemeyer
• Together We Care LLC
• Jacob Edward Tonna
• Gina Teisha Torchon
• Diego Alejandro Torres Malave
• Sylvia Torres-Thomas, PHD, APRN, FNP-C
• Nadara Andreina Torres
• Tina Tuyet Tran, DMD

• Foot & Ankle Surgery Podiatrist in Mount Dora, FL
• Providers in Mount Dora, 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 Feb 25, 2025; 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.