Individual provider Active NPI

Liana Korytowski Seldin, DPM

  • Primary Podiatric Medicine Podiatrist
  • Coral Gables, FL
National Provider Identifier
1063501518
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO-0003037 Issued in FL
Practice address
2828 Coral Way Ste 309
Coral Gables, FL 33145-3214
Phone
(305) 856-6441
Fax
(305) 854-3880
NPI assigned
Oct 12, 2006
Last updated
Jun 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X PO-0003037 FL Primary

Addresses

Primary practice location

2828 Coral Way Ste 309
Coral Gables, FL 33145-3214

Mailing address

2828 Coral Way Ste 309
Coral Gables, FL 33145-3214
Phone (305) 856-6441

Other identifiers 1

IdentifierTypeStateIssuer
340494300MedicaidFL

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
I20040722000813 FL Practitioner - Podiatry 2860472669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southernmost Foot and Ankle Specialists PAGroup PAC ID 9638076771, 4 clinicians

Practice addresses (Care Compare)

381 N Krome Ave
Suite 112
Homestead, FL 33030-6047
Phone (305) 246-4774

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue439
Removal or shaving of skin growth266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO-0003037FLMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southernmost Foot and Ankle Specialists PA Primary Podiatric Medicine CurrentSince Jul 1, 2004 Accepting new patients
Miimii Thae DPM, P.a PastSince Sep 1, 2024 Accepting new patients
Endocrinology Specialists of South Florida, Inc Past Accepting new patients

Locations

975 Baptist Way
#101
Homestead, FL 33033
Phone (305) 246-4774

381 N Krome Ave
Ste 112
Homestead, FL 33030
Phone (305) 246-4774

2441 SW 22nd St
Miami, FL 33145
Phone (305) 758-7878

2828 SW 22nd St
Ste 309
Miami, FL 33145
Phone (305) 273-1919

13155 SW 134th St
Ste 212
Miami, FL 33186

Interoperability endpoints

  • Direct secure messaging: lseldin51387@direct.med.miami.edu

Organizations & group practices 4

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1063501518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 CORAL WAY STE 309",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453214",
            "telephone_number": "305-856-6441",
            "fax_number": "305-854-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 CORAL WAY STE 309",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453214",
            "telephone_number": "305-856-6441",
            "fax_number": "305-854-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELDIN",
        "first_name": "LIANA",
        "middle_name": "KORYTOWSKI",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO-0003037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340494300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.