Individual provider Active NPI

Uyen K. Dao, D.P.M

  • Podiatrist
  • Summerfield, FL
National Provider Identifier
1093725772
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2852 Issued in FL
Practice address
17820 SE 109TH Ave Ste 102
Summerfield, FL 34491-8968
Phone
(352) 347-3338
Fax
(352) 347-3389
NPI assigned
Aug 8, 2006
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2852 FL Primary

Addresses

Primary practice location

17820 SE 109TH Ave Ste 102
Summerfield, FL 34491-8968

Mailing address

17820 SE 109TH Ave Ste 102
Summerfield, FL 34491-8968
Phone (352) 347-3338

Other practice location 1

1800 SE 17th St Ste 60
Ocala, FL 34471-4191
Phone (352) 351-0375

Other identifiers 1

IdentifierTypeStateIssuer
340262200MedicaidFL

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
I20080904000413 FL Practitioner - Podiatry 9436225083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Live Oak Foot and AnkleGroup PAC ID 6305032665, 2 clinicians

Practice addresses (Care Compare)

17820 SE 109TH Ave
Suite 102
Summerfield, FL 34491-8968
Phone (352) 347-3338

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1149
Removal or shaving of skin growth342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2852FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Foot & Ankle P a Podiatrist CurrentSince Jun 10, 2008 Accepting new patients
Live Oak Foot & Ankle Podiatrist CurrentSince Aug 30, 2010 Accepting new patients

Locations

1800 SE 17th St
Ste 601
Ocala, FL 34471
Phone (352) 351-0375

1801 SE 24th Rd
Ocala, FL 34471
Phone (352) 351-8119

17820 SE 109th Ave
Ste 102
Summerfield, FL 34491
Phone (352) 347-3338

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1093725772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17820 SE 109TH AVE STE 102",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918968",
            "telephone_number": "352-347-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17820 SE 109TH AVE STE 102",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918968",
            "telephone_number": "352-347-3338",
            "fax_number": "352-347-3389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 SE 17th St Ste 60",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344714191",
            "country_code": "US",
            "telephone_number": "352-351-0375",
            "fax_number": "352-351-1610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAO",
        "first_name": "UYEN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340262200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

Verify at the official NPI Registry.