Individual provider Active NPI

Kiana Karbasi

  • Foot & Ankle Surgery Podiatrist
  • Orlando, FL
National Provider Identifier
1194189589
Registry record updated Oct 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4275 Issued in FL
Practice address
3701 Avalon Park West Blvd Ste 225
Orlando, FL 32828-7303
Phone
(407) 863-3655
Fax
(321) 248-3763
NPI assigned
Apr 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO4275 FL Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003945 OH
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3701 Avalon Park West Blvd Ste 225
Orlando, FL 32828-7303

Mailing address

3701 Avalon Park West Blvd Ste 225
Orlando, FL 32828-7303
Phone (407) 863-3655

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
I20211216001580 FL Practitioner - Podiatry 5991134843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine Ankle and Foot Experts PLLCGroup PAC ID 1951791243, 2 clinicians

Practice addresses (Care Compare)

3701 Avalon Park W Blvd
Suite 225
Orlando, FL 32828-7303
Phone (407) 863-3655

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of nail tissue13
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4275FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Ankle and Foot Experts PLLC Foot & Ankle Surgery CurrentSince May 25, 2021 Accepting new patients

Locations

3701 Avalon Park West Blvd
Ste 225
Orlando, FL 32828
Phone (407) 863-3655

3701 Avalon Park West Blvd
#225
Orlando, FL 32828

1800 N Mills Ave
Orlando, FL 32803
Phone (321) 356-1258

Interoperability endpoints

  • Direct secure messaging: kiana.karbasi.1@29074.direct.athenahealth.com

Organizations & group practices 1

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 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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1194189589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 AVALON PARK WEST BLVD STE 225",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287303",
            "telephone_number": "407-863-3655",
            "fax_number": "321-248-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 AVALON PARK WEST BLVD STE 225",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287303",
            "telephone_number": "407-863-3655",
            "fax_number": "321-248-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARBASI",
        "first_name": "KIANA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4275",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003945",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.