Individual provider Active NPI

Lucita Marthe Clersaint, D.P.M.

  • Podiatrist
  • Miami, FL
National Provider Identifier
1174599526
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2776 Issued in FL
Practice address
58 NE 167TH St
Miami, FL 33162-3401
Phone
(305) 944-1610
Fax
(305) 944-1670
NPI assigned
Feb 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2776 FL Primary

Addresses

Primary practice location

58 NE 167TH St
Miami, FL 33162-3401

Mailing address

PO Box 277955
Miramar, FL 33027-7955
Phone (305) 944-1610

Other practice location 1

710 Alton Rd
Miami Beach, FL 33139-5504
Phone (305) 538-8835

Other identifiers 1

IdentifierTypeStateIssuer
390479200MedicaidFL

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
I20040908001413 FL Practitioner - Podiatry 1557337714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Beach Community Health Center, Inc. 49 clinicians

Practice addresses (Care Compare)

11645 Biscayne Blvd
North Miami, FL 33181-3155
Phone (305) 538-8835

58 NE 167TH St
Miami, FL 33162-3401
Phone (305) 944-1610

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue35
Removal of skin lesions20
Removal of nail tissue130
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2776FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Beach Community Health Center Inc CurrentSince Nov 19, 2014 Accepting new patients
Lucita M Clersaint DPM P a Podiatrist CurrentSince Sep 19, 2000 Accepting new patients
Miami Beach Community Health Center Inc CurrentSince Nov 19, 2014 Accepting new patients
Jim Francois, DPM, PT, PA Past Accepting new patients
Kidney and Hypertension Specialist of Miami PA PastSince Dec 31, 2023 Accepting new patients
Randolph Borrero MD PA PastSince May 15, 2024 Accepting new patients
Miami Beach Community Health Center, Inc. Past Accepting new patients
Miami Beach Community Health Center Inc Past Accepting new patients

Locations

3600 Old Boynton Rd
Boynton Beach, FL 33436
Phone (561) 736-9992

9400 SW 137th Ave
Miami, FL 33186
Phone (305) 385-8290

1221 71st St
Miami Beach, FL 33141

710 Alton Rd
Miami Beach, FL 33139

11645 Biscayne Blvd
Ste 207
North Miami, FL 33181
Phone (704) 297-9229

11645 Biscayne Blvd
Ste 309
North Miami, FL 33181
Phone (867) 920-2021

11645 Biscayne Blvd
Ste 408
North Miami, FL 33181

11645 Biscayne Blvd
Ste 308
North Miami, FL 33181
Phone (305) 895-0010

11645 Biscayne Blvd
Ste 301
North Miami, FL 33181
Phone (869) 202-0217

301 NE 141st St
North Miami, FL 33161
Phone (305) 893-1102

58 NE 167th St
North Miami Beach, FL 33162
Phone (305) 944-1610

9711 W Oakland Park Blvd
Sunrise, FL 33351
Phone (561) 483-9282

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8919/brand/1/csg/1/fhir/r4

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1174599526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277955",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330277955",
            "telephone_number": "305-944-1610",
            "fax_number": "305-944-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 NE 167TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331623401",
            "telephone_number": "305-944-1610",
            "fax_number": "305-944-1670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Alton Rd",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331395504",
            "country_code": "US",
            "telephone_number": "305-538-8835",
            "fax_number": "305-994-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLERSAINT",
        "first_name": "LUCITA",
        "middle_name": "MARTHE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-26",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390479200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.