NPIMap

Individual provider Active NPI

Raymond Paul Rowan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Palm City, FL
National Provider Identifier
1306188636
Registry record updated Jan 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3732 Issued in FL
Practice address
2664 SW Immanuel Dr
Palm City, FL 34990-2738
Phone
(185) 555-0333
Fax
(772) 288-3341
NPI assigned
Mar 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2022

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 PO3732 FL Primary

Addresses

Primary practice location

2664 SW Immanuel Dr
Palm City, FL 34990-2738

Mailing address

5374 SE Harbor Ter
Stuart, FL 34997-2553

Other identifiers 1

IdentifierTypeStateIssuer
017869800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160610000700 FL Practitioner - Podiatry 1254621857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stellar Foot and Ankle Specialists LLCGroup PAC ID 2961894316, 2 clinicians

Practice addresses (Care Compare)

445 N Causeway
New Smyrna Beach, FL 32169-5266
Phone (386) 427-4020

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Jacksonville, FL, CCN 107689
  • Concierge Home Care Home health agency, Port Orange, FL, CCN 687137
  • Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045

Merit-based Incentive Payment System (MIPS)

Final score
98.09 of 100Reported as individual
Quality
95
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue113
Removal of skin lesions122
Removal of nail tissue1266
Removal or shaving of skin growth1118
Skin biopsy19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3732FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Foot and Ankle Specialists LLC Foot & Ankle Surgery CurrentSince Jan 6, 2022 Accepting new patients
Certified Foot & Ankle Specialists Foot & Ankle Surgery CurrentSince Jul 1, 2016 Accepting new patients
Certified Foot & Ankle Specialists Foot & Ankle Surgery CurrentSince Jul 1, 2016 Accepting new patients
Fred a Lecheler, DPM, PA Past Accepting new patients

Locations

7730 W Boynton Beach Blvd
Ste 7
Boynton Beach, FL 33437
Phone (561) 369-2199

445 N Causeway
New Smyrna Beach, FL 32169
Phone (386) 427-4020

2664 SW Immanuel Dr
Palm City, FL 34990
Phone (772) 288-3338

Interoperability endpoints

  • Direct secure messaging: rrowan@stellarfoot.emadirect.md

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.

Hospital & facility affiliations 6

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1306188636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5374 SE HARBOR TER",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349972553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 SW IMMANUEL DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902738",
            "telephone_number": "185-555-0333",
            "fax_number": "772-288-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWAN",
        "first_name": "RAYMOND",
        "middle_name": "PAUL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017869800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

Verify at the official NPI Registry.