Joel A. Di Santi, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Clearwater, FL
NPI 1124099478 · NPPES record last updated Apr 25, 2020
Key facts
- NPI
- 1124099478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- PO2045 (FL)
- Practice address
- 2699 Seville Blvd Unit 402
Clearwater, FL 33764-1144 - Phone
- (724) 493-3250
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pueblo of Isleta
Santa Ana Health Center
Albuquerque Indian Health Center
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 11 |
| Removal of nail tissue | 38 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070529000463 | TX | Practitioner - Podiatry | 4688771512 | Reassigns benefits to 3 organizations |
| I20221210000140 | NM | Practitioner - Podiatry | 4688771512 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Ana Health Center | Current |
Accepting new patients | |
| Pueblo of Isleta | Current |
Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current |
Accepting new patients | |
| Albuquerque Indian Health Center | Current |
Accepting new patients | |
| Pueblo of Isleta | Current | Accepting new patients | |
| Pueblo of Isleta | Past | Accepting new patients |
Locations
801 Vassar Dr NE
Albuquerque, NM 87106
Phone (505) 248-4000
1 Sagebrush St SW
Albuquerque, NM 87105
Phone (505) 869-4463
2 Dove Rd
#C
Bernalillo, NM 87004
Phone (505) 867-2497
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO2045 | FL | Yes |
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
Other providers in Clearwater, FL
- Tabitha Jean Dewolf
- Jessica Deys
- Dharamraj Inc
- Kenneth S Dharamraj
- Celia P Di Marco
- Diabetic Medic, Inc
- Diagnostic Clinic Medical Group Inc
- Diagnostic Clinic Medical Group Inc.
- Walter Francis Diak III
- Diamond Business Ventures, Inc
All providers in Clearwater, FL · Foot & Ankle Surgery Podiatrist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.