Vahe Matnishian

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

PO4608 Issued in FL

Practice address

3515 SE Willoughby Blvd
Stuart, FL 34994-5059

Phone

(772) 283-3800

NPI assigned

May 25, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, 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

Specialty

Podiatry

Education

College of Podiatric Med and Surgery, Des Moines University, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Jessica Taub Podiatry DPM LLCGroup PAC ID 6002235025, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concierge Home Care Home health agency, Port Saint Lucie, FL, CCN 687163
• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Dr Jessica Taub Podiatry DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Stuart, FL
  • NPI 1285248286

  Primary Podiatric Medicine

  Medicare reassignment Care Compare group NPD
• Hill Country Foot Surgeons, P.a.

  • Foot & Ankle Surgery Podiatrist
  • Kerrville, TX
  • NPI 1124116512
  Medicare reassignment NPD
• South Texas Foot Surgeons, P.a.

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
  • NPI 1013090349

  Primary Podiatric Medicine

  Medicare reassignment NPD

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

• Concierge Home Care of Port St Lucie LLC

  • Home Health Agency
  • Port St Lucie, FL
  • NPI 1184222549
  Care Compare affiliation
• Martin Memorial Medical Center Inc

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Care Compare affiliation

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1144843111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 SE WILLOUGHBY BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349945059",
            "telephone_number": "772-283-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 SE WILLOUGHBY BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349945059",
            "telephone_number": "772-283-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 SE Port St Lucie Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349525331",
            "country_code": "US",
            "telephone_number": "772-283-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATNISHIAN",
        "first_name": "VAHE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-25",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4608",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO4608",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO4608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura K Mathes
• Samantha Mathes
• Nisha Mathew
• Marcelin Mathurin
• Luz Maria Maticorena
• Keythia M Matos Aviles
• Claudia Lais Matos
• Traci Matthews
• Debra L Mattingly, M.A., SLP
• Christina Marie Mattise, OTRL

• Primary Podiatric Medicine Podiatrist in Stuart, FL
• Providers in Stuart, FL by specialty
• Primary Podiatric Medicine Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.

Verify at the official NPI Registry.