Individual provider Active NPI

Ferdinand Otto Kussel, DPM.

  • Podiatrist
  • Clearwater, FL
National Provider Identifier
1255319133
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO0002632 Issued in FL
Practice address
2378 Sunset Point Rd.
Clearwater, FL 33765
Phone
(727) 797-5007
Fax
(727) 725-9737
NPI assigned
Jan 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2632 FL
Podiatrist 213E00000X PO0002632 FL Primary

Addresses

Primary practice location

2378 Sunset Point Rd.
Clearwater, FL 33765

Mailing address

2378 Sunset Point Rd.
Clearwater, FL 33765
Phone (727) 797-5007

Other names 1

  • Dr. Fred Otto Kussel Other name

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
I20080908000403 FL Practitioner - Podiatry 5890861314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kussel and AssociatesGroup PAC ID 5193891604, 6 clinicians

Practice addresses (Care Compare)

2378 Sunset Point Rd
Clearwater, FL 33765-1430
Phone (727) 797-5007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
85.48
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue33
Removal of skin lesions1-10
Removal of nail tissue55
Removal or shaving of skin growth74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO0002632FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kussel & Associates CurrentSince Jul 19, 2001 Accepting new patients
Kussel & Associates Inc. Podiatrist CurrentSince Aug 28, 2008 Accepting new patients

Locations

2378 Sunset Point Rd
Clearwater, FL 33765
Phone (727) 724-6230

2349 Sunset Point Rd
Ste 404B
Clearwater, FL 33765
Phone (727) 797-5007

2349 Sunset Point Rd
Clearwater, FL 33765
Phone (727) 656-2217

2349 Sunset Point Rd
#404B
Clearwater, FL 33765
Phone (813) 797-5007

1302 W Swann Ave
Tampa, FL 33606
Phone (813) 250-3668

Interoperability endpoints

  • Direct secure messaging: fkussel@kussel.mdlogic.direct-ci.com

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.

Hospital & facility affiliations 1

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": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1255319133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2378 SUNSET POINT RD.",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33765",
            "telephone_number": "727-797-5007",
            "fax_number": "727-725-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2378 SUNSET POINT RD.",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33765",
            "telephone_number": "727-797-5007",
            "fax_number": "727-725-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSSEL",
        "first_name": "FERDINAND",
        "middle_name": "OTTO",
        "name_prefix": "Dr.",
        "credential": "DPM.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-02",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2632",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO0002632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRED",
            "last_name": "KUSSEL",
            "middle_name": "OTTO",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.