Individual provider Active NPI

Steven M Blustein, D.P.M.

  • Podiatrist
  • Tampa, FL
National Provider Identifier
1184601759
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO0001858 Issued in FL
Practice address
2835 W de Leon St
Suite 101
Tampa, FL 33609-4168
Phone
(813) 254-6592
Fax
(813) 254-3634
NPI assigned
Dec 27, 2005
Last updated
Nov 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO0001858 FL Primary

Addresses

Primary practice location

2835 W de Leon St
Suite 101
Tampa, FL 33609-4168

Mailing address

2835 W de Leon St
Suite 101
Tampa, FL 33609-4168
Phone (813) 254-6592

Other identifiers 3

IdentifierTypeStateIssuer
87991ZOtherFLRR MEDICARE
2700451OtherFLUNITED HEALTHCARE
87991OtherFLBLUE CROSS BLUE SHIELD

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
I20100316000410 FL Practitioner - Podiatry 5890884431 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle & Foot Center of Tampa Bay Podiatrist CurrentSince Sep 4, 1987 Accepting new patients
Ankle & Foot Center of Tampa Bay Podiatrist CurrentSince Sep 4, 1987 Accepting new patients

Locations

1408 W Reynolds St
Ste A
Plant City, FL 33563
Phone (813) 710-6591

13907 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 963-1833

2835 W De Leon St
Ste 101
Tampa, FL 33609
Phone (813) 254-4747

38105 13th Ave
Zephyrhills, FL 33542
Phone (813) 715-4747

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.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1184601759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 W DE LEON ST",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094168",
            "telephone_number": "813-254-6592",
            "fax_number": "813-254-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 W DE LEON ST",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094168",
            "telephone_number": "813-254-6592",
            "fax_number": "813-254-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUSTEIN",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO0001858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "87991Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2700451",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "87991",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.