Individual provider Active NPI

Radu Dan Purtuc, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Vero Beach, FL
National Provider Identifier
1154663235
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4273 Issued in FL
Practice address
1285 36TH St Ste 203
Vero Beach, FL 32960-6588
Phone
(772) 567-0111
Fax
(772) 257-6521
NPI assigned
Mar 26, 2013
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Primary Podiatric Medicine Podiatrist 213EP1101X PO4273 FL
Primary Podiatric Medicine Podiatrist 213EP1101X 5901002490 MI
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002490 MI
Foot & Ankle Surgery Podiatrist 213ES0103X PO4273 FL Primary

Addresses

Primary practice location

1285 36TH St Ste 203
Vero Beach, FL 32960-6588

Mailing address

1285 36TH St Ste 203
Vero Beach, FL 32960-6588
Phone (772) 567-0111

Other practice location 1

43191 Dalcoma Dr Ste 105
Clinton Township, MI 48038-6308
Phone (586) 213-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, 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
I20160729000400 MI Practitioner - Podiatry 1355572629
I20210617000963 FL Practitioner - Podiatry 1355572629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Certified Foot and Ankle SpecialistsGroup PAC ID 7214080282, 12 clinicians

Practice addresses (Care Compare)

140 Jupiter Lakes Blvd
Suite a
Jupiter, FL 33458-7196
Phone (561) 320-9298

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal100
Removal of tissue496
Removal of skin lesions748
Removal of nail tissue972
Removal or shaving of skin growth715
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Medical Group PLLC Primary Podiatric Medicine CurrentSince May 1, 2019 Accepting new patients
Certified Foot & Ankle Specialists Foot & Ankle Surgery CurrentSince Apr 1, 2022 Accepting new patients
Envision Medical Group PLLC Primary Podiatric Medicine Current Accepting new patients
Certified Foot & Ankle Specialists Primary Podiatric Medicine CurrentSince Apr 1, 2022 Accepting new patients
Envision Medical Group PLLC CurrentSince May 1, 2019 Accepting new patients
North Florida Multispecialty Physicians LLC Foot & Ankle Surgery PastSince Jun 15, 2021 Accepting new patients

Locations

7730 W Boynton Beach Blvd
Ste 7
Boynton Beach, FL 33437
Phone (561) 369-2199

140 Jupiter Lakes Blvd
Ste A
Jupiter, FL 33458
Phone (561) 320-9298

Ste 203
Vero Beach, FL 32960
Phone (772) 567-0111

422 N Center St
Ste B
Northville, MI 48167
Phone (248) 449-7156

42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442

12660 10 Mile Rd
South Lyon, MI 48178
Phone (248) 348-1131

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCHICA
  • Direct secure messaging: rpurtuc237419@direct.hfhs.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1154663235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 36TH ST STE 203",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606588",
            "telephone_number": "772-567-0111",
            "fax_number": "772-257-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 36TH ST STE 203",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606588",
            "telephone_number": "772-567-0111",
            "fax_number": "772-257-6521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43191 Dalcoma Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480386308",
            "country_code": "US",
            "telephone_number": "586-213-5250",
            "fax_number": "586-213-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURTUC",
        "first_name": "RADU",
        "middle_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO4273",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "5901002490",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002490",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.