Individual provider Active NPI

Lydiann Antommattei-Seda, DPM

  • Foot & Ankle Surgery Podiatrist
  • Miami Beach, FL
National Provider Identifier
1285712430
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO0002463 Issued in FL
Practice address
1345 Alton Rd
Miami Beach, FL 33139-3811
Phone
(305) 538-2226
Fax
(305) 538-2194
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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 PO0002463 FL Primary

Addresses

Primary practice location

1345 Alton Rd
Miami Beach, FL 33139-3811

Mailing address

8200 NW 27 St
Ste 108
Doral, FL 33122-1906
Phone (786) 662-3893

Other identifiers 1

IdentifierTypeStateIssuer
390238200MedicaidFL

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
I20040914000533 FL Practitioner - Podiatry 6002883568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Foot and Ankle Associates, LLC.Group PAC ID 8628173465, 24 clinicians

Practice addresses (Care Compare)

1345 Alton Rd
Miami Beach, FL 33139-3811
Phone (305) 538-2226

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue188
Removal or shaving of skin growth30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO0002463FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Foot & Ankle Associates LLC Foot & Ankle Surgery CurrentSince Dec 1, 2006 Accepting new patients
Florida Foot & Ankle Associates, LLC Foot & Ankle Surgery CurrentSince Dec 1, 2006 Accepting new patients

Locations

475 Biltmore Way
Ste 108
Coral Gables, FL 33134
Phone (305) 442-1780

8200 NW 27th St
Ste 108
Doral, FL 33122
Phone (786) 662-3893

1345 Alton Rd
Miami Beach, FL 33139
Phone (305) 538-2226

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1285712430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 NW 27 ST",
            "address_2": "STE 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221906",
            "telephone_number": "786-662-3893",
            "fax_number": "786-662-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393811",
            "telephone_number": "305-538-2226",
            "fax_number": "305-538-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOMMATTEI-SEDA",
        "first_name": "LYDIANN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO0002463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390238200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.