Individual provider Active NPI

Aric J Swancutt

  • Primary Podiatric Medicine Podiatrist
  • Palm Beach Gardens, FL
National Provider Identifier
1184252512
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
4489 Issued in FL
Practice address
5602 Pga Blvd Ste 101
Palm Beach Gardens, FL 33418-3829
Phone
(561) 627-6444
NPI assigned
Mar 31, 2020
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Medicine Podiatrist 213EP0504X PO4489 FL
Primary Podiatric Medicine Podiatrist 213EP1101X 4489 FL Primary

Addresses

Primary practice location

5602 Pga Blvd Ste 101
Palm Beach Gardens, FL 33418-3829

Mailing address

72 Ironwood Way N
Palm Beach Gardens, FL 33418-3717
Phone (507) 696-4042

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
I20230707001478 FL Practitioner - Podiatry 9830558923 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knock Your Socks Off Foot and Ankle Specialist LLCGroup PAC ID 1355685900, 4 clinicians

Practice addresses (Care Compare)

2100 10TH Ave
Vero Beach, FL 32960-5377
Phone (772) 562-8491

5602 Pga Blvd
Suite 101
Palm Beach Gardens, FL 33418-3829
Phone (561) 627-6444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue227
Removal of skin lesions62
Removal of nail tissue374
Removal or shaving of skin growth128
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4489FLMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Knock Your Socks Off Foot & Ankle Specialist LLC CurrentSince Jan 1, 2025 Accepting new patients
Dr. Aric Swancutt DPM LLC Primary Podiatric Medicine CurrentSince Mar 12, 2025 Accepting new patients
South Florida Lower Extremity Institute LLC CurrentSince Nov 25, 2024 Accepting new patients
Marie L Williams DPM PA Public Medicine PastSince Apr 1, 2020 Accepting new patients
Marie L Williams DPM PLLC Primary Podiatric Medicine PastSince Apr 1, 2020 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

5602 Pga Blvd
Ste 101
Palm Beach Gardens, FL 33418
Phone (561) 596-5647

2100 10th Ave
#B
Vero Beach, FL 32960
Phone (772) 562-8491

Interoperability endpoints

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

Organizations & group practices 5

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 3

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1184252512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 IRONWOOD WAY N",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183717",
            "telephone_number": "507-696-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 PGA BLVD STE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183829",
            "telephone_number": "561-627-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANCUTT",
        "first_name": "ARIC",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "FL",
            "license": "PO4489",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "4489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.