Individual provider Active NPI

Efrosini Fotopoulos, DPM

  • Podiatrist
  • Pompano Beach, FL
National Provider Identifier
1255595047
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3541 Issued in FL
Practice address
1600 N Federal Hwy Ste a
Pompano Beach, FL 33062
Phone
(754) 888-5656
Fax
(954) 943-7300
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3541 FL Primary

Addresses

Primary practice location

1600 N Federal Hwy Ste a
Pompano Beach, FL 33062

Mailing address

2205 Bay Dr
Pompano Beach, FL 33062-2912
Phone (917) 582-4010

Other practice location 1

4742 195th St
Flushing, NY 11358-3933
Phone (718) 357-6268

Other identifiers 1

IdentifierTypeStateIssuer
008048300MedicaidFL

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
I20130522000249 FL Practitioner - Podiatry 1153569637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2205 Bay Dr
Pompano Beach, FL 33062-2912
Phone (954) 815-5763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3541FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Foot and Ankle Specialist P a Podiatrist CurrentSince Nov 13, 2012 Accepting new patients

Locations

1600 N Federal Hwy
#A
Pompano Beach, FL 33062
Phone (754) 234-0984

Organizations & group practices 1

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": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1255595047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 BAY DR",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330622912",
            "telephone_number": "917-582-4010",
            "fax_number": "954-785-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N FEDERAL HWY STE A",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33062",
            "telephone_number": "754-888-5656",
            "fax_number": "954-943-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4742 195th St",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113583933",
            "country_code": "US",
            "telephone_number": "718-357-6268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOTOPOULOS",
        "first_name": "EFROSINI",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008048300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.