Individual provider Active NPI

Endri Afesllari, DPM

  • Foot & Ankle Surgery Podiatrist
  • Zephyrhills, FL
National Provider Identifier
1154717312
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3977 Issued in FL
Practice address
6326 Fort King Rd
Zephyrhills, FL 33542-2531
Phone
(813) 788-3600
Fax
(813) 788-7010
NPI assigned
Apr 14, 2015
Last updated
Oct 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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 PO3977 FL Primary

Addresses

Primary practice location

6326 Fort King Rd
Zephyrhills, FL 33542-2531

Mailing address

6326 Fort King Rd
Zephyrhills, FL 33542-2531
Phone (813) 788-3600

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
I20181002001954 FL Practitioner - Podiatry 4082928601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert J Valins DPM PAGroup PAC ID 6507994324, 7 clinicians

Practice addresses (Care Compare)

6326 Fort King Rd
Zephyrhills, FL 33542-2531
Phone (813) 788-3600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision11
Removal of tissue288
Removal of skin lesions21
Removal of nail tissue1124
Removal or shaving of skin growth953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J Valins DPM PA Foot & Ankle Surgery CurrentSince Oct 28, 2023 Accepting new patients
Palm Harbor Dermatology PA PastSince Jul 30, 2018 Accepting new patients

Locations

10141 Big Bend Rd
Ste 207
Riverview, FL 33578
Phone (813) 480-2892

10141 Big Bend Rd
Ste 209
Riverview, FL 33578
Phone (813) 415-2204

936 Cypress Village Blvd
Sun City Center, FL 33573

936 Cypress Village Blvd
Ste B
Sun City Center, FL 33573
Phone (813) 633-5900

6326 Fort King Rd
Zephyrhills, FL 33542
Phone (813) 563-9308

Organizations & group practices 2

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 6

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1154717312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6326 FORT KING RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335422531",
            "telephone_number": "813-788-3600",
            "fax_number": "813-788-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6326 FORT KING RD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335422531",
            "telephone_number": "813-788-3600",
            "fax_number": "813-788-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFESLLARI",
        "first_name": "ENDRI",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.