Individual provider Active NPI

Jason Gold, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Boca Raton, FL
National Provider Identifier
1316960628
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3130 Issued in FL
Practice address
670 Glades Rd
Ste. 320
Boca Raton, FL 33431-6461
Phone
(561) 750-3033
Fax
(561) 750-3443
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 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 PO3130 FL Primary

Addresses

Primary practice location

670 Glades Rd
Ste. 320
Boca Raton, FL 33431-6461

Mailing address

670 Glades Rd
Ste. 320
Boca Raton, FL 33431-6461
Phone (561) 750-3033

Other identifiers 1

IdentifierTypeStateIssuer
340481100MedicaidFL

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
I20041004001071 FL Practitioner - Podiatry 8325007511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cosmetic Foot Ankle and Leg Vein Center LLCGroup PAC ID 8426072836, 3 clinicians

Practice addresses (Care Compare)

670 Glades Rd
Suite 320
Boca Raton, FL 33431-6464
Phone (561) 750-3033

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue96
Removal of skin lesions18
Removal of nail tissue386
Removal or shaving of skin growth22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3130FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Foot & Ankle, LLC Foot & Ankle Surgery Current Accepting new patients
Cosmetic Foot Ankle & Leg Vein Center LLC Foot & Ankle Surgery CurrentSince Jan 1, 2015 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 120
Boca Raton, FL 33428
Phone (561) 487-4200

670 Glades Rd
Ste 320
Boca Raton, FL 33431
Phone (561) 395-9225

10151 Entrprs Cntr Blvd
Ste 203
Boynton Beach, FL 33437
Phone (561) 430-2070

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.

Hospital & facility affiliations 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1316960628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 GLADES RD",
            "address_2": "STE. 320",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316461",
            "telephone_number": "561-750-3033",
            "fax_number": "561-750-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 GLADES RD",
            "address_2": "STE. 320",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316461",
            "telephone_number": "561-750-3033",
            "fax_number": "561-750-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLD",
        "first_name": "JASON",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340481100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.