Individual provider Active NPI

Charlton Lance Adler, D.P.M

  • Foot Surgery Podiatrist
  • North Miami Beach, FL
National Provider Identifier
1275638694
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO1744 Issued in FL
Practice address
1380 NE Miami Gardens Dr
235
North Miami Beach, FL 33179-4707
Phone
(305) 935-3999
Fax
(305) 936-8231
NPI assigned
Sep 13, 2006
Last updated
Mar 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO1744 FL Primary

Addresses

Primary practice location

1380 NE Miami Gardens Dr
235
North Miami Beach, FL 33179-4707

Mailing address

1380 NE Miami Gardens Dr
235
North Miami Beach, FL 33179-4707
Phone (305) 935-3999

Other identifiers 1

IdentifierTypeStateIssuer
029767400MedicaidFL

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
I20070423000591 FL Practitioner - Podiatry 4183691447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlton L Adler DPM PAGroup PAC ID 3971570342, 2 clinicians

Practice addresses (Care Compare)

1380 NE Miami Gardens Dr
Suite 235
Miami, FL 33179-4750

1859 Van Buren St
Hollywood, FL 33020-5127
Phone (954) 920-9000

19333 W Country Club Dr
Aventura, FL 33180-2485
Phone (305) 935-3999

21110 Biscayne Blvd
Suite 104
Miami, FL 33180-1228
Phone (305) 682-7989

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue173
Removal of skin lesions15
Removal of nail tissue186
Removal or shaving of skin growth19
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Realtime Medical Imaging Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1275638694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR",
            "address_2": "235",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794707",
            "telephone_number": "305-935-3999",
            "fax_number": "305-936-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 NE MIAMI GARDENS DR",
            "address_2": "235",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794707",
            "telephone_number": "305-935-3999",
            "fax_number": "305-936-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "CHARLTON",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO1744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029767400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.