Individual provider Active NPI

Richard Fields, DPM

  • Foot & Ankle Surgery Podiatrist
  • Coconut Creek, FL
National Provider Identifier
1073856308
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 3657 Issued in FL
Practice address
3720 Coconut Creek Pkwy
Suite C
Coconut Creek, FL 33066-1634
Phone
(954) 330-6044
Fax
(786) 513-8481
NPI assigned
Apr 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO 3657 FL Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 65 006558 NY

Addresses

Primary practice location

3720 Coconut Creek Pkwy
Suite C
Coconut Creek, FL 33066-1634

Mailing address

3720 Coconut Creek Pkwy
Suite C
Coconut Creek, FL 33066-1634
Phone (954) 330-6044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140702002598 FL Practitioner - Podiatry 3476799636 Reassigns benefits to 2 organizations
Practice locations: Coconut Creek, FL; Surfside, FL
O20150825004855 FL DME Supplier - Physician - Podiatry 5092021865 Practice locations: Coconut Creek, FL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3720 Coconut Creek Pkwy C
Coconut Creek, FL 33066-1634
Phone (954) 330-6044

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 3657FLMDFoot & Ankle Surgery Podiatrist
65 006558NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Spine Institute LLC CurrentSince Jul 1, 2015 Accepting new patients
Family Podiatry Associates, PA Foot & Ankle Surgery CurrentSince Oct 1, 2014 Accepting new patients
Fields Foot and Ankle Corp. Foot & Ankle Surgery Past Accepting new patients

Locations

17971 Biscayne Blvd
Ste 109
Aventura, FL 33160
Phone (305) 933-2666

3720 Coconut Creek Pkwy
Ste C
Coconut Creek, FL 33066
Phone (954) 272-2496

3702 Washington St
Ste 100
Hollywood, FL 33021
Phone (954) 272-2225

Interoperability endpoints

  • Direct secure messaging: richard.fields@direct.hvhc.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFDHBD

Organizations & group practices 3

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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1073856308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 COCONUT CREEK PKWY",
            "address_2": "SUITE C",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661634",
            "telephone_number": "954-330-6044",
            "fax_number": "786-513-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 COCONUT CREEK PKWY",
            "address_2": "SUITE C",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661634",
            "telephone_number": "954-330-6044",
            "fax_number": "786-513-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 3657",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "65 006558",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.