Individual provider Active NPI

Andrea Paula Aedo, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Pembroke Pines, FL
National Provider Identifier
1154552537
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 3386 Issued in FL
Practice address
10041 Pines Blvd
Suite E
Pembroke Pines, FL 33024-6170
Phone
(954) 437-0200
Fax
(954) 436-2159
NPI assigned
Aug 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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 PO 3386 FL Primary

Addresses

Primary practice location

10041 Pines Blvd
Suite E
Pembroke Pines, FL 33024-6170

Mailing address

8230 Cleary Blvd
2304
Plantation, FL 33324-1383
Phone (954) 236-6887

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
I20091021000464 FL Practitioner - Podiatry 9436296696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven M Hacker MD PAGroup PAC ID 8224071824, 6 clinicians
Todd N Pinsky DPM PAGroup PAC ID 9830272871, 4 clinicians

Practice addresses (Care Compare)

230 George Bush Blvd
B
Delray Beach, FL 33444-4035
Phone (561) 276-3111

9980 Central Park Blvd N
Suite 208
Boca Raton, FL 33428-1703
Phone (561) 488-4848

Hospital & facility affiliations

  • Activa Home Health Home health agency, Boynton Beach, FL, CCN 109143

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
93.33 of 100Reported as individual
Quality
80.36
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue360
Removal of skin lesions544
Removal of nail tissue1397
Removal or shaving of skin growth340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 3386FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Todd N Pinsky DPM PA Foot & Ankle Surgery CurrentSince Dec 4, 2023 Accepting new patients
Steven M Hacker MD PA Foot & Ankle Surgery CurrentSince Sep 1, 2019 Accepting new patients
Todd N Pinsky DPM PA Foot & Ankle Surgery CurrentSince Dec 4, 2023 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 208
Boca Raton, FL 33428
Phone (561) 488-4848

7410 W Boynton Beach Blvd
Ste B6
Boynton Beach, FL 33437
Phone (561) 733-4010

230 George Bush Blvd
Ste B
Delray Beach, FL 33444
Phone (561) 276-3111

Interoperability endpoints

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

Organizations & group practices 3

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 1

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": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1154552537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 CLEARY BLVD",
            "address_2": "2304",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241383",
            "telephone_number": "954-236-6887",
            "fax_number": "954-236-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10041 PINES BLVD",
            "address_2": "SUITE E",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246170",
            "telephone_number": "954-437-0200",
            "fax_number": "954-436-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AEDO",
        "first_name": "ANDREA",
        "middle_name": "PAULA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 3386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.