Individual provider Active NPI

Alissa B Zdancewicz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bradenton, FL
National Provider Identifier
1154368207
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3140 Issued in FL
Practice address
1611 53Rd Ave W
Bradenton, FL 34207-2868
Phone
(941) 753-9599
Fax
(941) 755-9261
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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 PO3140 FL Primary

Addresses

Primary practice location

1611 53Rd Ave W
Bradenton, FL 34207-2868

Mailing address

1611 53Rd Ave W
Bradenton, FL 34207-2868
Phone (941) 753-9599

Other identifiers 1

IdentifierTypeStateIssuer
340523100MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000520 FL Practitioner - Podiatry 1658334461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Podiatry Center, Inc.Group PAC ID 2365411725, 5 clinicians

Practice addresses (Care Compare)

1611 53Rd Ave W
Bradenton, FL 34207-2868
Phone (941) 753-9599

Hospital & facility affiliations

  • Residential Home Health of WC FL Home health agency, Palmetto, FL, CCN 103172
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue107
Removal of skin lesions1-10
Removal of nail tissue534
Removal or shaving of skin growth200
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Podiatry Center, Inc. Foot & Ankle Surgery CurrentSince Sep 13, 2004 Accepting new patients

Locations

1611 53rd Ave W
Bradenton, FL 34207
Phone (941) 753-9599

1961 Floyd St
Ste D
Sarasota, FL 34239
Phone (941) 361-2627

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: drzdancewicz@wcpcp-fl.direct.office.nextgen.com

Organizations & group practices 1

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1154368207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 53RD AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342072868",
            "telephone_number": "941-753-9599",
            "fax_number": "941-755-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 53RD AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342072868",
            "telephone_number": "941-753-9599",
            "fax_number": "941-755-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDANCEWICZ",
        "first_name": "ALISSA",
        "middle_name": "B",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340523100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.