Active NPI
Anish Y Amin, DPM
- Podiatrist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO4111
- Practice address
- 5911 Timuquana Rd Unit 300
Jacksonville, FL 32210-7897 - Phone
- (904) 778-3000
- Fax
- (904) 771-2002
- NPI assigned
- May 5, 2015
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO4111 | FL | |
| Podiatrist | 213E00000X | PO4111 | FL | Primary |
Addresses
Primary practice location
5911 Timuquana Rd Unit 300
Jacksonville, FL 32210-7897
Mailing address
5911 Timuquana Rd Unit 300
Jacksonville, FL 32210-7897
Phone (904) 251-5053
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
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1361 13TH Ave S
Suite 120
Jacksonville Beach, FL 32250-3260
Phone (904) 251-5053
60 N Hwy 17 92
Debary, FL 32713-2513
Phone (212) 764-0008
Hospital & facility affiliations
- Baptist Medical Center Beaches
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 120 |
| Removal of skin lesions | 18 |
| Removal of nail tissue | 3128 |
| Removal or shaving of skin growth | 370 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1333 | MA | MD | Chiropractor |
| PO4111 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry Associates of Florida Inc | Single Specialty | Current | Accepting new patients |
| Podiatry Associates of Florida, Inc. | Single Specialty | Current | Accepting new patients |
| Podiatry Associates of Florida Inc | Single Specialty | Current | Accepting new patients |
| Pedirite Medical FL LLC | Single Specialty | Current | Accepting new patients |
| Adler Podiatry Clinic PLLC | Single Specialty | Current | Accepting new patients |
| Podiatry Associates of Florida, Inc. | Single Specialty | Past | Accepting new patients |
Locations
60 N US Highway 17 92
Debary, FL 32713
Phone (386) 668-4426
3636 University Blvd S
Ste C
Jacksonville, FL 32216
Phone (904) 731-1711
5911 Timuquana Rd
Ste 300
Jacksonville, FL 32210
8825 Perimeter Park Blvd
Ste 202
Jacksonville, FL 32216
Phone (904) 645-6982
5911 Timuquana Rd
Unit 300
Jacksonville, FL 32210
Phone (904) 778-3000
1361 13th Ave S
Ste 120
Jax Bch, FL 32250
Phone (904) 241-2655
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GIBJDD/Endpoint/GIBJDD
Organizations & group practices 6
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
- Clearwater, FL
- NPI 1255432746
Single Specialty
-
- Foot & Ankle Surgery Podiatrist
- Jacksonville, FL
- NPI 1689942302
Single Specialty
-
- Foot & Ankle Surgery Podiatrist
- Jacksonville, FL
- NPI 1841254786
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1265819700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5911 TIMUQUANA RD UNIT 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322107897",
"telephone_number": "904-251-5053",
"fax_number": "904-224-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5911 TIMUQUANA RD UNIT 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322107897",
"telephone_number": "904-778-3000",
"fax_number": "904-771-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIN",
"first_name": "ANISH",
"middle_name": "Y",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-05",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO4111",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO4111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.