Organization Active NPI

Doctor Podiatry LLC

  • Podiatrist
  • Miami, FL
National Provider Identifier
1053968149
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
DOCTOR PODIATRY LLC
Practice address
10260 SW 56TH St Ste 101
Miami, FL 33165-7021
Phone
(305) 930-7934
Fax
(305) 203-4891
NPI assigned
Aug 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Ryan Medina Oakley, DPMNPI 1447731591
Title
Owner
Phone
(305) 930-7934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X
Podiatric Clinic/Center 261QP1100X

Addresses

Primary practice location

10260 SW 56TH St Ste 101
Miami, FL 33165-7021

Mailing address

4131 SW 102ND CT
Miami, FL 33165-4943
Phone (305) 930-7934

Other names 1

  • RYAN MEDINA OAKLEY DPM LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL DrRyanOakley@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191119001092 FL Part B Supplier - Clinic/Group Practice 8820420524 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

1100 S Federal Hwy
Ste 100
Deerfield Beach, FL 33441
Phone (954) 942-7897

10260 SW 56th St
Ste 101
Miami, FL 33165
Phone (305) 596-1433

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1053968149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 SW 102ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654943",
            "telephone_number": "305-930-7934",
            "fax_number": "305-203-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 SW 56TH ST STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657021",
            "telephone_number": "305-930-7934",
            "fax_number": "305-203-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "OAKLEY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MEDINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-930-7934",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DrRyanOakley@gmail.com",
            "affiliation": "N",
            "address_1": "10775 SW 56th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331657043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "RYAN MEDINA OAKLEY DPM LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.