Individual provider Active NPI

Alexandra Heidtmann Nobre, DPM

  • Foot & Ankle Surgery Podiatrist
  • Orlando, FL
National Provider Identifier
1255912861
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4576 Issued in FL
Practice address
899 Outer Rd Ste C
Orlando, FL 32814-6688
Phone
(407) 228-2838
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 PO4576 FL Primary

Addresses

Primary practice location

899 Outer Rd Ste C
Orlando, FL 32814-6688

Mailing address

899 Outer Rd Ste C
Orlando, FL 32814-6688
Phone (407) 228-2838

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
I20240528003391 FL Practitioner - Podiatry 5496197063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Central Florida Foot and Ankle Specialists PAGroup PAC ID 7214058171, 2 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

899 Outer Rd
Suite C
Orlando, FL 32814-6688
Phone (407) 228-2838

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue166
Removal of skin lesions39
Removal of nail tissue102
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4576FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Foot & Ankle Specialists PA Foot & Ankle Surgery CurrentSince Jul 1, 2024 Accepting new patients

Locations

899 Outer Rd
Ste C
Orlando, FL 32814
Phone (407) 228-2838

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.

Hospital & facility affiliations 2

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": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1255912861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 OUTER RD STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146688",
            "telephone_number": "407-228-2838",
            "fax_number": "407-894-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 OUTER RD STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146688",
            "telephone_number": "407-228-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDTMANN NOBRE",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2024-07-01",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.