Individual provider Active NPI

Pamela J Humpel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Punta Gorda, FL
National Provider Identifier
1164418141
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO0002568 Issued in FL
Practice address
352 Milus St
Punta Gorda, FL 33950-4552
Phone
(941) 639-0025
Fax
(941) 374-7271
NPI assigned
Sep 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 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 PO0002568 FL Primary

Addresses

Primary practice location

352 Milus St
Punta Gorda, FL 33950-4552

Mailing address

PO Box 511269
Punta Gorda, FL 33951-1269
Phone (941) 639-0025

Other identifiers 5

IdentifierTypeStateIssuer
77160OtherMEDICARE GROUP PROVIDER #
65458OtherFLBLUE SHIELD
1013068709OtherFLGROUP NPI
390313300MedicaidFL
480021060OtherRAILROAD MEDICARE

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
I20100204000243 FL Practitioner - Podiatry 1951334705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Centers of Charlotte County PAGroup PAC ID 5799718540, 7 clinicians

Practice addresses (Care Compare)

352 Milus St
Punta Gorda, FL 33950-4552
Phone 9416390025203

Hospital & facility affiliations

  • The Roads Home Health Southwest Florida Home health agency, Fort Myers, FL, CCN 683106
  • Enhabit Home Health Home health agency, Fort Myers, FL, CCN 107749

Merit-based Incentive Payment System (MIPS)

Final score
83.42 of 100Reported as individual
Quality
59.92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue150
Removal of skin lesions1-10
Removal of nail tissue1272
Removal or shaving of skin growth1204
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO0002568FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Centers of Charlotte County PA Foot & Ankle Surgery CurrentSince Aug 1, 1996 Accepting new patients
Foot & Ankle Centers of Charlotte County PastSince Aug 1, 1996 Accepting new patients

Locations

3406 Tamiami Trl
Unit 1
Port Charlotte, FL 33952
Phone (941) 627-5161

352 Milus St
Punta Gorda, FL 33950
Phone (941) 639-0025

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 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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1164418141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511269",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339511269",
            "telephone_number": "941-639-0025",
            "fax_number": "941-347-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 MILUS ST",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504552",
            "telephone_number": "941-639-0025",
            "fax_number": "941-374-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPEL",
        "first_name": "PAMELA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO0002568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER #",
            "identifier": "77160",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "65458",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1013068709",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390313300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480021060",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.