Individual provider Active NPI

Daniel Elgut, DPM

  • Foot & Ankle Surgery Podiatrist
  • Royal Palm Beach, FL
National Provider Identifier
1215354352
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3854 Issued in FL
Practice address
11412 Okeechobee Blvd
Royal Palm Beach, FL 33411
Phone
(561) 793-6170
Fax
(561) 795-3683
NPI assigned
Mar 26, 2014
Last updated
Jun 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X PO3854 FL Primary

Addresses

Primary practice location

11412 Okeechobee Blvd
Royal Palm Beach, FL 33411

Mailing address

11412 Okeechobee Blvd
Royal Palm Beach, FL 33411-8722
Phone (561) 793-6170

Other practice location 1

5301 South Congress Avenue, 3 South
Atlantis, FL 33462-1149
Phone (561) 548-1711

Other practice location 2

3375 Burns Rd Ste 107
Palm Beach Gardens, FL 33410-4360
Phone (561) 691-4682

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
I20180109001788 FL Practitioner - Podiatry 0042579591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bit Physical TherapyGroup PAC ID 4183160328, 138 clinicians
South Florida Foot and Ankle CenterGroup PAC ID 7315927316, 7 clinicians

Practice addresses (Care Compare)

105 Ballenisle Circle
Palm Beach Gardens, FL 33418

11412 Okeechobee Blvd
Royal Palm Beach, FL 33411-8722
Phone (561) 793-6170

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue71
Removal of skin lesions22
Removal of nail tissue615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3854FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Foot & Ankle Center Single Specialty CurrentSince Jul 26, 2017 Accepting new patients
South Florida Foot & Ankle Center CurrentSince Jul 26, 2017 Accepting new patients

Locations

1100 S Main St
Belle Glade, FL 33430
Phone (561) 996-4242

3618 Lantana Rd
Ste 102
Lake Worth, FL 33462
Phone (561) 967-4999

3375 Burns Rd
Ste 107
Palm Beach Gardens, FL 33410
Phone (561) 626-7929

1420 SW Saint Lucie West Blvd
Ste 103
Port St Lucie, FL 34986
Phone (561) 296-1188

11412 Okeechobee Blvd
Royal Palm Beach, FL 33411
Phone (561) 295-8009

Interoperability endpoints

  • Direct secure messaging: delgut19724@jupitermedicalcenter.direct-ci.com

Organizations & group practices 3

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 6

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1215354352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 OKEECHOBEE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118722",
            "telephone_number": "561-793-6170",
            "fax_number": "561-795-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11412 OKEECHOBEE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "561-793-6170",
            "fax_number": "561-795-3683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 South Congress Avenue, 3 South",
            "address_purpose": "LOCATION",
            "city": "Atlantis",
            "state": "FL",
            "postal_code": "334621149",
            "country_code": "US",
            "telephone_number": "561-548-1711",
            "fax_number": "561-548-1743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3375 Burns Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334104360",
            "country_code": "US",
            "telephone_number": "561-691-4682",
            "fax_number": "561-624-7084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELGUT",
        "first_name": "DANIEL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.