Individual provider Active NPI

Susan B Mattison, D.P.M.

  • Podiatrist
  • Boynton Beach, FL
National Provider Identifier
1043292733
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1924 Issued in FL
Practice address
3695 W Boynton Beach Blvd
Suite 4
Boynton Beach, FL 33436-4516
Phone
(561) 364-5522
NPI assigned
Nov 17, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO1924 FL Primary

Addresses

Primary practice location

3695 W Boynton Beach Blvd
Suite 4
Boynton Beach, FL 33436-4516

Mailing address

3695 W Boynton Beach Blvd
Suite 4
Boynton Beach, FL 33436-4516
Phone (561) 364-5522

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
I20050301000035 FL Practitioner - Podiatry 9638122849 Reassigns benefits to 1 organization

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
Oakwood Lakes Podiatry Group PAGroup PAC ID 4082667290, 3 clinicians

Practice addresses (Care Compare)

3695 W Boynton Beach Blvd
Boynton Beach, FL 33436-4516
Phone (561) 364-5522

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26
Removal of skin lesions1-10
Removal of nail tissue118
Removal or shaving of skin growth52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Lakes Podiatry Group PA Podiatrist CurrentSince Nov 5, 1989 Accepting new patients
Brian Mattison DPM PA Past Accepting new patients

Locations

3695 W Boynton Beach Blvd
Boynton Beach, FL 33436
Phone (561) 364-5522

3695 W Boynton Beach Blvd
Ste 4
Boynton Beach, FL 33436
Phone (561) 364-5522

7280 Boynton Beach Blvd
Ste 200
Boynton Beach, FL 33437
Phone (561) 310-1150

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043292733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 W BOYNTON BEACH BLVD",
            "address_2": "SUITE 4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364516",
            "telephone_number": "561-364-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 W BOYNTON BEACH BLVD",
            "address_2": "SUITE 4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364516",
            "telephone_number": "561-364-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "SUSAN",
        "middle_name": "B",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.