Individual provider Active NPI

Tamara Fishman, DPM

  • Podiatrist
  • North Miami Beach, FL
National Provider Identifier
1306848767
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2352 Issued in FL
Practice address
1100 NE 163Rd St
Suite # 101
North Miami Beach, FL 33162-4515
Phone
(305) 948-8497
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2352 FL Primary

Addresses

Primary practice location

1100 NE 163Rd St
Suite # 101
North Miami Beach, FL 33162-4515

Mailing address

1100 NE 163Rd St
Suite # 101
North Miami Beach, FL 33162-4515
Phone (305) 948-8497

Other identifiers 1

IdentifierTypeStateIssuer
390144100MedicaidFL

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
I20110110000147 FL Practitioner - Podiatry 6608064498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 Ne163Rd St
Suite 101
North Miami Beach, FL 33162-4515
Phone (305) 948-8496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Foot Care Center, Inc. CurrentSince Oct 13, 1993 Accepting new patients

Locations

1100 NE 163rd St
Ste 101
North Miami Beach, FL 33162
Phone (305) 948-8496

Organizations & group practices 1

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1306848767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NE 163RD ST",
            "address_2": "SUITE # 101",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624515",
            "telephone_number": "305-948-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NE 163RD ST",
            "address_2": "SUITE # 101",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624515",
            "telephone_number": "305-948-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "TAMARA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390144100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.