Individual provider Active NPI

Sharang Penumetsa, DPM

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1306598339
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PR688 Issued in FL
Practice address
3659 S Miami Ave Ste 3008
Miami, FL 33133-4225
Phone
(732) 325-5923
NPI assigned
Jan 20, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 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 PR688 FL Primary

Addresses

Primary practice location

3659 S Miami Ave Ste 3008
Miami, FL 33133-4225

Mailing address

1100 Salzedo St Apt 3B
Coral Gables, FL 33134-2853
Phone (732) 325-5923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231005000049 FL Practitioner - Podiatry 8426403866 Reassigns benefits to 1 organization
I20250121003670 TX Practitioner - Podiatry 8426403866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan K Anderson D P M P CGroup PAC ID 7517999121, 51 clinicians

Practice addresses (Care Compare)

1225 E Cliff Dr
Suite 2a
El Paso, TX 79902-4700
Phone (915) 598-3338

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30
Removal of skin lesions1-10
Removal of nail tissue104
Removal or shaving of skin growth19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR688FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan K Anderson D P M P C Foot & Ankle Surgery CurrentSince Dec 7, 2024 Accepting new patients
MBV PLLC Foot & Ankle Surgery CurrentSince Aug 24, 2025 Accepting new patients
Miimii Thae DPM, P.a CurrentSince Sep 1, 2024 Accepting new patients
Southernmost Foot and Ankle Specialists PA Foot & Ankle Surgery CurrentSince Jun 24, 2023 Accepting new patients
MBV PLLC CurrentSince Aug 24, 2025 Accepting new patients

Locations

381 N Krome Ave
Ste 112
Homestead, FL 33030
Phone (305) 246-4774

13155 SW 134th St
Ste 212
Miami, FL 33186

11613 N Central Expy
Ste 121
Dallas, TX 75243
Phone (214) 691-0760

1225 E Cliff Dr
Ste 2A
El Paso, TX 79902
Phone (915) 533-1622

1618 N Lee Trevino Dr
Ste D
El Paso, TX 79936
Phone (206) 703-2204

9701 N Sam Houston Pkwy E
Ste 150
Humble, TX 77396
Phone (281) 973-5237

640 Interstate 45 S
Huntsville, TX 77340
Phone (936) 228-3992

9191 Pinecroft Dr
Ste 100
Shenandoah, TX 77380
Phone (866) 680-9355

596 W 750 S
Ste 200
Bountiful, UT 84010
Phone (801) 292-4425

434 W Ascension Way
Ste 425
Salt Lake City, UT 84123

Organizations & group practices 5

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": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1306598339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SALZEDO ST APT 3B",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342853",
            "telephone_number": "732-325-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 S MIAMI AVE STE 3008",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334225",
            "telephone_number": "732-325-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENUMETSA",
        "first_name": "SHARANG",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PR688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.