Individual provider Active NPI

Shruti Dosi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lake Mary, FL
National Provider Identifier
1083110571
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4146 Issued in FL
Practice address
1307 S International Pkwy Ste 1061
Lake Mary, FL 32746-1412
Phone
(407) 323-1234
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4146 FL
Public Medicine Podiatrist 213EP0504X PO4146 FL
Primary Podiatric Medicine Podiatrist 213EP1101X PO4146 FL
Sports Medicine Podiatrist 213ES0000X PO4146 FL
Foot & Ankle Surgery Podiatrist 213ES0103X 213E00000X GA
Foot Surgery Podiatrist 213ES0131X PO4146 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO4146 FL Primary

Addresses

Primary practice location

1307 S International Pkwy Ste 1061
Lake Mary, FL 32746-1412

Mailing address

1307 S International Pkwy Ste 1061
Lake Mary, FL 32746-1412
Phone (407) 323-1234

Other identifiers 3

IdentifierTypeStateIssuer
15165159OtherCAQH ID
114134200MedicaidFL
PRLE4OtherFLBCBS

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
I20220429000998 FL Practitioner - Podiatry 5496151292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Pascarella Hoover Finkelstein and Wagner DPM PAGroup PAC ID 9436235645, 102 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

2014 S Orange Ave
Suite 100
Orlando, FL 32806-3069
Phone (407) 649-1234

213 E Oak St
Kissimmee, FL 34744-4503
Phone (407) 935-0008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue18
Removal of skin lesions1-10
Removal of nail tissue325
Removal or shaving of skin growth265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4146FLMDFoot & Ankle Surgery Podiatrist
213E00000XGAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC Podiatrist CurrentSince Oct 1, 2023 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Oct 1, 2023 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA Foot Surgery CurrentSince Jan 15, 2025 Accepting new patients
Anne McNamara DPM PL Podiatrist PastSince Jul 1, 2022 Accepting new patients

Locations

661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759

1111 Kevstin Dr
Kissimmee, FL 34744
Phone (407) 846-1234

819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234

213 E Oak St
Kissimmee, FL 34744
Phone (407) 935-0008

1307 S International Pkwy
Ste 1061
Lake Mary, FL 32746
Phone (407) 323-1234

7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211

6000 Turkey Lake Rd
Ste 108
Orlando, FL 32819
Phone (407) 447-1234

2014 S Orange Ave
Ste 100
Orlando, FL 32806
Phone (407) 603-3900

922 E Call St
Starke, FL 32091
Phone (904) 368-2300

1807 Salk Ave
Tavares, FL 32778
Phone (352) 253-2304

Interoperability endpoints

  • Direct secure messaging: shruti.dosi.2@4399.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1083110571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 S INTERNATIONAL PKWY STE 1061",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461412",
            "telephone_number": "407-323-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 S INTERNATIONAL PKWY STE 1061",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461412",
            "telephone_number": "407-323-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSI",
        "first_name": "SHRUTI",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4146",
            "primary": false
        },
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "FL",
            "license": "PO4146",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO4146",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "FL",
            "license": "PO4146",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "213E00000X",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO4146",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "15165159",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114134200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PRLE4",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.