Konstantin Agarunov, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3990 Issued in FL

Practice address

6707 38TH Ave N
St Petersburg, FL 33710-1536

Phone

(727) 896-4615

Fax

(727) 256-3855

NPI assigned

Jun 26, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunshine State Podiatry LLCGroup PAC ID 0547505802, 2 clinicians

Beaton Podiatry Center IncGroup PAC ID 1557274107, 10 clinicians

Worman Foot and Ankle Associates LLCGroup PAC ID 8628140878, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

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

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.

• Beaton Podiatry Center Inc

  • Foot & Ankle Surgery Podiatrist
  • St Petersburg, FL
  • NPI 1366626541

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Sunshine State Podiatry LLC

  • Foot & Ankle Surgery Podiatrist
  • Bonita Springs, FL
  • NPI 1700375458

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Worman Foot and Ankle Associates

  • Foot & Ankle Surgery Podiatrist
  • Largo, FL
  • NPI 1881882116

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Worman Foot and Ankle Associates

  • Foot & Ankle Surgery Podiatrist
  • Largo, FL
  • NPI 1093990376

  Single Specialty

  NPD

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1194130211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8353 SW 124TH ST STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565847",
            "telephone_number": "718-664-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101536",
            "telephone_number": "727-896-4615",
            "fax_number": "727-256-3855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8353 SW 124th St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331565847",
            "country_code": "US",
            "telephone_number": "718-664-7482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGARUNOV",
        "first_name": "KONSTANTIN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE LICENSE",
            "identifier": "PO3990",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICAID",
            "identifier": "101900200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Affinity Healthcare Solutions, LLC.
• Affinity Home Medical Equipment Inc
• Affordable Denture & Implants - St. Petersburg II, P.a.
• Afic Group of Coa LLC
• Afterglow Trauma Therapy LLC
• Agate Health & Wellness
• Luisito Ago, APRN
• Nicole Agresto, PSY.D,
• Diane Marie Aguero
• Nicole Aguilar, DO

• Foot & Ankle Surgery Podiatrist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.