Individual provider Active NPI

Joel A. Di Santi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Clearwater, FL
National Provider Identifier
1124099478
Registry record updated Apr 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2045 Issued in FL
Practice address
2699 Seville Blvd Unit 402
Clearwater, FL 33764-1144
Phone
(724) 493-3250
NPI assigned
Jan 26, 2006
Last updated
Apr 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO2045 FL Primary

Addresses

Primary practice location

2699 Seville Blvd Unit 402
Clearwater, FL 33764-1144

Mailing address

2699 Seville Blvd Unit 402
Clearwater, FL 33764-1144
Phone (724) 493-3250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070529000463 TX Practitioner - Podiatry 4688771512 Reassigns benefits to 3 organizations
I20221210000140 NM Practitioner - Podiatry 4688771512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pueblo of IsletaGroup PAC ID 9739080631, 13 clinicians
Santa Ana Health CenterGroup PAC ID 4880590298, 7 clinicians
Albuquerque Indian Health CenterGroup PAC ID 7719883164, 55 clinicians

Practice addresses (Care Compare)

01 Sagebrush St
Albuquerque, NM 87105-0001

1 Sagebrush St SW
Albuquerque, NM 87105-3942
Phone (505) 869-4463

2 C Dove Rd
Bernalillo, NM 87004-5906
Phone (505) 867-2497

801 Vassar Dr NE
Albuquerque, NM 87106-2725
Phone (505) 248-4000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of nail tissue38
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1207TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo of Isleta Current Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Aug 10, 2020 Accepting new patients
Pueblo of Isleta CurrentSince Aug 24, 2022 Accepting new patients
Santa Ana Health Center CurrentSince May 15, 2021 Accepting new patients
Albuquerque Indian Health Center CurrentSince Nov 24, 2021 Accepting new patients
Pueblo of Isleta Past Accepting new patients

Locations

1 Sagebrush St SW
Albuquerque, NM 87105
Phone (505) 869-4463

801 Vassar Dr NE
Albuquerque, NM 87106
Phone (505) 248-4000

2 Dove Rd
#C
Bernalillo, NM 87004
Phone (505) 867-2497

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Organizations & group practices 6

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587772800000",
    "number": "1124099478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 SEVILLE BLVD UNIT 402",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337641144",
            "telephone_number": "724-493-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 SEVILLE BLVD UNIT 402",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337641144",
            "telephone_number": "724-493-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI SANTI",
        "first_name": "JOEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.