Individual provider Active NPI

Vishnu Seecharan, D.P.M

  • Podiatrist
  • Jupiter, FL
National Provider Identifier
1275761389
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N006376-1 Issued in NY
Practice address
1094 Military TRL
Jupiter, FL 33458-7021
Phone
(561) 622-6111
Fax
(855) 215-9930
NPI assigned
Jun 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006376 NY
Podiatrist 213E00000X N006376-1 NY Primary

Addresses

Primary practice location

1094 Military TRL
Jupiter, FL 33458-7021

Mailing address

1094 Military TRL
Jupiter, FL 33458-7021
Phone (561) 622-6111

Other practice location 1

1225 150th St
Whitestone, NY 11357-1747
Phone (718) 767-0202

Other practice location 2

4700 N Congress Ave Ste 103
West Palm Beach, FL 33407-3284
Phone (561) 622-6111

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
I20180112001289 FL Practitioner - Podiatry 6709033319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luxepodiatry Palm Beach PLLCGroup PAC ID 4688941578, 2 clinicians

Practice addresses (Care Compare)

1080 E Indiantown Rd
Suite 202
Jupiter, FL 33477-5188
Phone (561) 619-3557

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006376-1NYMDPodiatrist
N006376NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Luxepodiatry Palm Beach PLLC Foot & Ankle Surgery CurrentSince Sep 1, 2017 Accepting new patients
Dino Ditrolio Foot & Ankle Surgery PastSince Nov 13, 2022 Accepting new patients
The Medical Group of South Florida Inc PastSince Oct 17, 2021 Accepting new patients
The Medical Group of South Florida, Inc Past Accepting new patients

Locations

1080 E Indiantown Rd
Ste 202
Jupiter, FL 33477
Phone (561) 619-3557

Organizations & group practices 4

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1275761389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 MILITARY TRL",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587021",
            "telephone_number": "561-622-6111",
            "fax_number": "855-215-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 MILITARY TRL",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587021",
            "telephone_number": "561-622-6111",
            "fax_number": "855-215-9930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 150th St",
            "address_purpose": "LOCATION",
            "city": "Whitestone",
            "state": "NY",
            "postal_code": "113571747",
            "country_code": "US",
            "telephone_number": "718-767-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 N Congress Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334073284",
            "country_code": "US",
            "telephone_number": "561-622-6111",
            "fax_number": "855-215-9930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEECHARAN",
        "first_name": "VISHNU",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006376",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006376-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.