Active NPI
Antony Merendino, DPM
- Podiatrist
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO4108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | POD1035 | GA | |
| Podiatrist | 213E00000X | DPM0000000651 | TN | |
| Podiatrist | 213E00000X | PO2511 | FL | |
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390291900 | Medicaid | FL |
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
Enrollment records 1
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 162 |
| Removal of nail tissue | 336 |
| Removal or shaving of skin growth | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO2511 | FL | MD | Podiatrist |
| PO4108 | FL | MD | Podiatrist |
| POD1035 | GA | MD | Podiatrist |
| DPM0000000651 | TN | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Multi-Specialty | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Hollywood Foot & Ankle Center Inc | Multi-Specialty | Past | Accepting new patients |
| United Medical Center of Boca Raton Corp | Multi-Specialty | Past | 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
- 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.
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
Multi-Specialty
-
dba UF Health Family Medicine Ocala Heath Brook
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Foot & Ankle Surgery Podiatrist
- Boynton Beach, FL
- NPI 1538084892
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UF Health Medical Specialties Davis Cancer Pavilion
- General Acute Care Hospital
- Gainesville, FL
- NPI 1083403661
-
dba UF Health Medical Specialties Medical Plaza
- General Acute Care Hospital
- Gainesville, FL
- NPI 1144019720
-
dba UF Health Rehab Center San Felasco
- General Acute Care Hospital
- Alachua, FL
- NPI 1306717889
-
dba UF Health Rehab Center Celebration Pointe
- General Acute Care Hospital
- Gainesville, FL
- NPI 1396616876
-
dba UF Health Rehab Center for Kids Jonesville
- General Acute Care Hospital
- Newberry, FL
- NPI 1477424943
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1699874248
-
dba UF Health Ocala Neighborhood Hospital
- General Acute Care Hospital
- Ocala, FL
- NPI 1992542369
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.