Individual provider Active NPI

Charles A Suleskey, DPM

  • Foot & Ankle Surgery Podiatrist
  • Venice, FL
National Provider Identifier
1215955406
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO1729 Issued in FL
Practice address
1832 Tamiami TRL S
Venice, FL 34293-3127
Phone
(941) 493-7999
Fax
(941) 493-6852
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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 PO1729 FL Primary

Addresses

Primary practice location

1832 Tamiami TRL S
Venice, FL 34293-3127

Mailing address

1832 Tamiami TRL S
Venice, FL 34293-3127
Phone (941) 493-7999

Other identifiers 2

IdentifierTypeStateIssuer
87901OtherFLBCBS
480029500OtherFLRR MEDICARE

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
I20110426000394 FL Practitioner - Podiatry 5698848042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles a Suleskey DPM PAGroup PAC ID 1759401011, 2 clinicians

Practice addresses (Care Compare)

1832 Tamiami TRL S
Venice, FL 34293-3154
Phone (941) 493-7999

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue181
Removal of skin lesions1-10
Removal of nail tissue1518
Removal or shaving of skin growth1262
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1729FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Activcare Physical Therapy, LLC PastSince Mar 16, 2011 Accepting new patients

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388016000000",
    "number": "1215955406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 TAMIAMI TRL S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342933127",
            "telephone_number": "941-493-7999",
            "fax_number": "941-493-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 TAMIAMI TRL S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342933127",
            "telephone_number": "941-493-7999",
            "fax_number": "941-493-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULESKEY",
        "first_name": "CHARLES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO1729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87901",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480029500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.