Active NPI
Andrew Dittman, DPM
- Foot & Ankle Surgery Podiatrist
- Ormond Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO4665
- Practice address
- 595 W Granada Blvd Ste F
Ormond Beach, FL 32174-5182 - Phone
- (386) 832-0876
- NPI assigned
- Jun 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO4665 | FL | Primary |
Addresses
Primary practice location
595 W Granada Blvd Ste F
Ormond Beach, FL 32174-5182
Mailing address
595 W Granada Blvd Ste F
Ormond Beach, FL 32174-5182
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250618004124 | FL | Practitioner - Podiatry | 9032620737 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
595 W Granada Blvd
Suite F
Ormond Beach, FL 32174-5182
Phone (386) 673-2266
Hospital & facility affiliations
- Adventhealth New Smyrna Beach
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 18 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 195 |
| Removal or shaving of skin growth | 97 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO4665 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Pascarella, Hoover, Finkelstein, Wagner, DPM, PA | Current | Accepting new patients | |
| Upperline Healthcare, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Pascarella Hoover Finkelstein & Wagner DPM PA | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759
819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234
508 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 270-0659
7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211
595 W Granada Blvd
Ste F
Ormond Beach, FL 32174
Phone (386) 673-2266
922 E Call St
Starke, FL 32091
Phone (904) 368-2300
4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171
Interoperability endpoints
- andrew.dittman.1@4399.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Altamonte Springs, FL
- NPI 1740275635
FL, Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Hoover, AL
- NPI 1538686498
FL, Foot & Ankle Surgery
-
- Foot Surgery Podiatrist
- Orlando, FL
- NPI 1649585571
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
Foot & Ankle Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Smyrna Beach, FL
- NPI 1871977942
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1245979822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 W GRANADA BLVD STE F",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 W GRANADA BLVD STE F",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745182",
"telephone_number": "386-832-0876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITTMAN",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-01",
"last_updated": "2025-08-14",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO4665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.