Active NPI
Barry University
Doing business as Barry University Foot and Ankle Institute
- Foot & Ankle Surgery Podiatrist
- Miami, FL
National Provider Identifier
1194905703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- BARRY UNIVERSITY
- Doing business as
- Barry University Foot and Ankle Institute
- Practice address
- 1190 NW 95TH St
Suite 102
Miami, FL 33150-2063 - Phone
- (305) 691-1787
- Fax
- (305) 691-5337
- NPI assigned
- Nov 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Nelson, DPM
- Title
- Associate Dean of Clinics
- Phone
- (305) 899-3252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
1190 NW 95TH St
Suite 102
Miami, FL 33150-2063
Mailing address
11300 NE 2ND Ave
Pod
Miami Shores, FL 33161-6628
Phone (305) 899-4061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029648100 | Medicaid | FL |
Other names 1
- Barry University Foot and Ankle Institute
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031210000902 | FL | Part B Supplier - Clinic/Group Practice | 3870499718 |
Receives reassigned benefits from 17 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Miami Beach, FL; Tamarac, FL; North Miami Beach, FL; Miami, FL; Hialeah, FL |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Barry University Foot & Ankle Institute
- Foot & Ankle Surgery Podiatrist
- Bay Harbor Islands, FL
- NPI 1689854291
O20031210000902
-
- Foot & Ankle Surgery Podiatrist
- North Miami Beach, FL
- NPI 1295959625
O20031210000902
National Provider Directory
National Provider DirectoryLocations
1190 NW 95th St
Ste 102
Miami, FL 33150
Phone (305) 691-1787
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Miami, FL
- NPI 1184625592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194825600000",
"number": "1194905703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11300 NE 2ND AVE",
"address_2": "POD",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331616628",
"telephone_number": "305-899-4061",
"fax_number": "305-899-4798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 NW 95TH ST",
"address_2": "SUITE 102",
"city": "MIAMI",
"state": "FL",
"postal_code": "331502063",
"telephone_number": "305-691-1787",
"fax_number": "305-691-5337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARRY UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-12",
"last_updated": "2007-11-12",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "ASSOCIATE DEAN OF CLINICS",
"authorized_official_telephone_number": "305-899-3252",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029648100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Barry University Foot and Ankle Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.