Individual provider Active NPI

Antony Merendino, DPM

  • Podiatrist
  • Gainesville, FL
National Provider Identifier
1104800226
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4108 Issued in FL
Practice address
3450 Hull Rd
Gainesville, FL 32607
Phone
(352) 273-7394
Fax
(352) 273-7395
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD1035 GA
Podiatrist 213E00000X DPM0000000651 TN
Podiatrist 213E00000X PO2511 FL
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X PO4108 FL Primary

Addresses

Primary practice location

3450 Hull Rd
Gainesville, FL 32607

Mailing address

3450 Hull Rd
Gainesville, FL 32607-4144
Phone (352) 273-7394

Other practice location 1

4085 Mallory Ln
Suite 106
Franklin, TN 37067-8290
Phone (615) 778-0760

Other practice location 2

3450 Hull Rd
Gainesville, FL 32607
Phone (352) 273-7394

Other identifiers 1

IdentifierTypeStateIssuer
390291900MedicaidFL

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
I20050418000988 FL Practitioner - Podiatry 4486692860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 SW Archer
Gainesville, FL 32610-3003

1600 SW Archer Rd
Gainesville, FL 32610-3003

1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535

2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

2846 SW 87TH Way
Gainesville, FL 32608-9341

3450 Hull Rd
Gainesville, FL 32607-4144

3450 SW Hull Rd
Uf Health Pediatric Urology Osmi
Gainesville, FL 32607-4144
Phone (352) 265-8240

3480 Hull Rd
Gainesville, FL 32607-4144
Phone (352) 338-7100

Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue162
Removal of nail tissue336
Removal or shaving of skin growth28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2511FLMDPodiatrist
PO4108FLMDPodiatrist
POD1035GAMDPodiatrist
DPM0000000651TNMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Multi-Specialty CurrentSince Oct 31, 2019 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Oct 31, 2019 Accepting new patients
Hollywood Foot & Ankle Center Inc Multi-Specialty PastSince Jan 1, 1990 Accepting new patients
United Medical Center of Boca Raton Corp Multi-Specialty PastSince Aug 1, 2008 Accepting new patients
Brian Mattison DPM PA Past Accepting new patients

Locations

3450 Hull Rd
Gainesville, FL 32607
Phone (352) 273-7002

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2846 SW 87th Way
Gainesville, FL 32608
Phone (352) 265-0944

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

Interoperability endpoints

  • Direct secure messaging: amerendino440462@direct.shands.ufl.edu

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1104800226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 HULL RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326074144",
            "telephone_number": "352-273-7394",
            "fax_number": "352-273-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 HULL RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32607",
            "telephone_number": "352-273-7394",
            "fax_number": "352-273-7395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4085 Mallory Ln",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370678290",
            "country_code": "US",
            "telephone_number": "615-778-0760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3450 Hull Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "32607",
            "country_code": "US",
            "telephone_number": "352-273-7394",
            "fax_number": "352-273-7395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERENDINO",
        "first_name": "ANTONY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD1035",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM0000000651",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2511",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390291900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.