Organization Active NPI

Geller, Horowitz & Akhavan,PA

Doing business as Podiatry Foot and Ankle Surgical Group of South Fla.

  • Podiatrist
  • Hialeah, FL
National Provider Identifier
1275567406
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2176 Issued in FL
Legal business name
GELLER, HOROWITZ & AKHAVAN,PA
Doing business as
Podiatry Foot and Ankle Surgical Group of South Fla.
Practice address
7000 W 12TH Ave
Suite 1
Hialeah, FL 33014
Phone
(305) 558-0444
Fax
(305) 557-3810
NPI assigned
Jul 11, 2006
Last updated
Jun 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Eunice Pena
Title
Admin
Phone
(305) 558-0444

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X PO3081 FL
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X PO2176 FL Primary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X PO0849 FL

Addresses

Primary practice location

7000 W 12TH Ave
Suite 1
Hialeah, FL 33014

Mailing address

7000 W 12TH Ave
Suite 1
Hialeah, FL 33014
Phone (305) 558-0444

Other identifiers 2

IdentifierTypeStateIssuer
390009600MedicaidFL
029763100MedicaidFL

Other names 1

  • PODIATRY FOOT AND ANKLE SURGICAL GROUP OF SOUTH FLA. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WWW.MYFEETUSA.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050221000448 FL Part B Supplier - Clinic/Group Practice 9739131517 Receives reassigned benefits from 2 practitioners
Practice locations: Hialeah, FL
O20100930100615 FL DME Supplier - Physician - Podiatry 9739131517 Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Locations

7000 W 12th Ave
Ste 1
Hialeah, FL 33014
Phone (305) 558-0444

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1275567406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 W 12TH AVE",
            "address_2": "SUITE 1",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33014",
            "telephone_number": "305-558-0444",
            "fax_number": "305-557-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W 12TH AVE",
            "address_2": "SUITE 1",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33014",
            "telephone_number": "305-558-0444",
            "fax_number": "305-557-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GELLER, HOROWITZ & AKHAVAN,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "305-558-0444"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3081",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2176",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO0849",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390009600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029763100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.MYFEETUSA.COM",
            "affiliation": "N",
            "address_1": "7000 W 12th Ave",
            "address_2": "SUITE 1",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PODIATRY FOOT AND ANKLE SURGICAL GROUP OF SOUTH FLA.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PODIATRY FOOT AND ANKLE SURGICAL GROUP OF SOUTH FLA.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.