Individual provider Active NPI

Lori Marie Deblasi, DPM

  • Foot Surgery Podiatrist
  • Fort Myers, FL
National Provider Identifier
1144216508
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
4222 Issued in FL
Practice address
1645 Colonial Blvd
Fort Myers, FL 33907-1101
Phone
(239) 430-3668
Fax
(239) 692-9436
NPI assigned
Sep 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 4222 FL Primary

Addresses

Primary practice location

1645 Colonial Blvd
Fort Myers, FL 33907-1101

Mailing address

730 Goodlette Rd
Ste 102
Naples, FL 34102-5617
Phone (239) 430-3668

Other identifiers 4

IdentifierTypeStateIssuer
PD6416MedicaidSC
10790442OtherOHCAQH
2215481MedicaidOH
641OtherSCSC MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HR@naplespodiatrist.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 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
I20150706000211 SC Practitioner - Podiatry 7719873249 Reassigns benefits to 1 organization
I20210512003257 FL Practitioner - Podiatry 7719873249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Foot and Leg Center PAGroup PAC ID 3678506326, 16 clinicians

Practice addresses (Care Compare)

730 Goodlette Rd
Suite 102
Naples, FL 34102-5617
Phone (239) 430-3366

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as individual
Quality
87.78
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue164
Removal of skin lesions18
Removal of nail tissue1159
Removal or shaving of skin growth792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4222FLMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot and Leg Center PA Foot & Ankle Surgery CurrentSince May 1, 2021 Accepting new patients
Carolina Family Care, Inc CurrentSince Mar 1, 2019 Accepting new patients
Carolina Family Care, Inc CurrentSince Mar 1, 2019 Accepting new patients
Family Foot and Leg Center PA Foot & Ankle Surgery CurrentSince May 1, 2021 Accepting new patients
Gateway Foot & Ankle, PC Foot & Ankle Surgery PastSince Jul 20, 1990 Accepting new patients
Gentle Footcare LLC Past Accepting new patients
Family Foot and Ankle Clinic LLC Foot & Ankle Surgery Past Accepting new patients
Gentle Footcare LLC Foot & Ankle Surgery Past Accepting new patients

Locations

21401 Corkscrew Village Ln
Ste 4
Estero, FL 33928

1645 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 278-4448

12250 Tamiami Trl E
Ste 101
Naples, FL 34113
Phone (239) 417-2256

730 Goodlette Rd
Ste 102
Naples, FL 34102
Phone (231) 343-2027

1925 Hoffmeyer Rd
Florence, SC 29501
Phone (843) 661-4390

805 Pamplico Hwy
Ste A320
Florence, SC 29505
Phone (843) 674-1480

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

Interoperability endpoints

  • Direct secure messaging: lori.deblasi.1@9455.direct.athenahealth.com
  • Direct secure messaging: lori.deblasi.1@6223.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9455/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 2

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1144216508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 GOODLETTE RD",
            "address_2": "STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025617",
            "telephone_number": "239-430-3668",
            "fax_number": "239-692-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071101",
            "telephone_number": "239-430-3668",
            "fax_number": "239-692-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBLASI",
        "first_name": "LORI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "4222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD6416",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10790442",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2215481",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL LICENSE",
            "identifier": "641",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HR@naplespodiatrist.com",
            "affiliation": "N",
            "endpointDescription": "HR department",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1645 Colonial Blvd",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339071101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.