Individual provider Active NPI

Saleena Ruth Niehaus, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Tampa, FL
National Provider Identifier
1053717181
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4193 Issued in FL
Practice address
508 S Habana Ave Ste 230
Tampa, FL 33609-4161
Phone
(813) 877-6636
NPI assigned
Nov 18, 2014
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 PO4193 FL Primary

Addresses

Primary practice location

508 S Habana Ave Ste 230
Tampa, FL 33609-4161

Mailing address

508 S Habana Ave Ste 230
Tampa, FL 33609-4161
Phone (330) 581-1781

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
I20200717001623 FL Practitioner - Podiatry 6507133535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayshore Podiatry Center IncGroup PAC ID 5991882128, 2 clinicians

Practice addresses (Care Compare)

508 S Habana Ave
Suite 230
Tampa, FL 33609-4161
Phone (813) 877-6636

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue424
Removal or shaving of skin growth267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bayshore Podiatry Center Inc Foot & Ankle Surgery CurrentSince Jul 20, 2020 Accepting new patients
Bayshore Podiatry Center CurrentSince Aug 2, 2020 Accepting new patients

Locations

508 S Habana Ave
Ste 230
Tampa, FL 33609
Phone (813) 855-8400

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: saleena.niehaus.1@18455.direct.athenahealth.com
  • Direct secure messaging: sniehaus@gci-fl.direct.office.nextgen.com

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": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1053717181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE STE 230",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094161",
            "telephone_number": "330-581-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S HABANA AVE STE 230",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094161",
            "telephone_number": "813-877-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEHAUS",
        "first_name": "SALEENA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.