Sung-Ho Bae, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO 3576 Issued in FL

Practice address

209 NE 95TH St Ste 6
Miami Shores, FL 33138-2745

Phone

(305) 631-2698

Fax

(305) 639-8686

NPI assigned

Aug 30, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sung Ho Bae, DPM, P.a

  • Foot & Ankle Surgery Podiatrist
  • Miami Shores, FL
  • NPI 1447501820
  Medicare reassignment NPD Authorized official
• Ankle & Foot Specialist of Dade County, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Miami Lakes, FL
  • NPI 1285973065
  Medicare reassignment NPD
• Phu H Nguyen DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
  • NPI 1073826350
  Medicare reassignment NPD
• Select Medical Clinic, Inc

  • Clinic/Center
  • North Miami Beach, FL
  • NPI 1659504199
  NPD
• Mobile Health Inc.

  • Podiatrist
  • Saint Petersburg, FL
  • NPI 1801841887
  NPD (past)

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1093064529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11347",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331011347",
            "telephone_number": "305-209-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NE 95TH ST STE 6",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382745",
            "telephone_number": "305-631-2698",
            "fax_number": "305-639-8686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3661 S Miami Ave",
            "address_2": "Suite 309",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334236",
            "country_code": "US",
            "telephone_number": "305-209-2212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16601 NE 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331623607",
            "country_code": "US",
            "telephone_number": "305-209-2212",
            "fax_number": "305-907-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAE",
        "first_name": "SUNG-HO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 3576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Audette
• Robin Ann Avery, PH.D.
• Mark Azer, DMD
• Amynah Aziz, PHARM D
• Linda Freeman Bach, MD
• Simren Bagri, DDS
• Katia E Baixeras
• Jacob Tyler Balken
• Maria Balladares
• Barbara Montford M.D.,P.a.

• Foot & Ankle Surgery Podiatrist in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.