Individual provider Active NPI

Mark A Maederer Jr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1033172630
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2975 Issued in FL
Practice address
3095 NW 7TH St
Miami, FL 33125
Phone
(305) 642-4044
Fax
(305) 642-2320
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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 PO2975 FL Primary

Addresses

Primary practice location

3095 NW 7TH St
Miami, FL 33125

Mailing address

3095 NW 7TH St
Miami, FL 33125-4241
Phone (305) 642-4044

Other identifiers 2

IdentifierTypeStateIssuer
65739YOtherFLMEDICARE LEGACY
3406512 00MedicaidFL

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
I20071019000136 FL Practitioner - Podiatry 9830285048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daryl Gershbein DPM PAGroup PAC ID 1557457769, 5 clinicians

Practice addresses (Care Compare)

3095 NW 7TH St
Miami, FL 33125-4241
Phone (305) 642-4044

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue73
Removal of nail tissue18
Removal or shaving of skin growth114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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.

Practice roles

OrganizationSpecialtyStatusNew patients
Daryl Gershbein DPM PA Foot & Ankle Surgery CurrentSince Jul 9, 2007 Accepting new patients
The Foot & Ankle Institute of South Florida, Inc Foot & Ankle Surgery Past Accepting new patients

Locations

3185 SW 8th St
Miami, FL 33135
Phone (305) 642-4044

3095 NW 7th St
Miami, FL 33125
Phone (305) 541-4033

Organizations & group practices 2

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 1

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1033172630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254241",
            "telephone_number": "305-642-4044",
            "fax_number": "305-642-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125",
            "telephone_number": "305-642-4044",
            "fax_number": "305-642-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEDERER",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "65739Y",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406512 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.