Individual provider Active NPI

Melissa Perurena, DPM

  • Foot & Ankle Surgery Podiatrist
  • North Miami, FL
National Provider Identifier
1215560628
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4154 Issued in FL
Practice address
1190 NE 125TH St
North Miami, FL 33161-5020
Phone
(305) 891-7500
Fax
(305) 985-6233
NPI assigned
Feb 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO4154 FL Primary

Addresses

Primary practice location

1190 NE 125TH St
North Miami, FL 33161-5020

Mailing address

1190 NE 125TH St
North Miami, FL 33161-5020
Phone (305) 891-7500

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
I20210226001117 FL Practitioner - Podiatry 1355756297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3659 S Miami Ave
Suite 3008
Miami, FL 33133-4225
Phone (305) 859-7777

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Perurena Hernandez DPM LLC Foot & Ankle Surgery CurrentSince Feb 24, 2021 Accepting new patients

Locations

3659 S Miami Ave
Ste 3008
Miami, FL 33133
Phone (305) 859-7777

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1215560628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615020",
            "telephone_number": "305-891-7500",
            "fax_number": "305-985-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615020",
            "telephone_number": "305-891-7500",
            "fax_number": "305-985-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERURENA",
        "first_name": "MELISSA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.