Individual provider Active NPI

Salvatore Leonard Delellis, DPM

  • Podiatrist
  • Tarpon Springs, FL
National Provider Identifier
1326067281
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P01223 Issued in FL
Practice address
1264 South Pinellas Avenue
Tarpon Springs, FL 34689
Phone
(727) 937-6398
Fax
(727) 937-6568
NPI assigned
Jul 19, 2006
Last updated
Jan 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P01223 FL Primary

Addresses

Primary practice location

1264 South Pinellas Avenue
Tarpon Springs, FL 34689

Mailing address

1264 South Pinellas Avenue
Tarpon Springs, FL 34689
Phone (727) 937-6398

Other identifiers 3

IdentifierTypeStateIssuer
87660OtherFLBCBS
406480477OtherFLRAILROAD MEDICARE
041300300MedicaidFL

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
I20120828000854 FL Practitioner - Podiatry 6406978956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1223FLMDInternal Medicine Physician
P01223FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Anclote Podiatry, Inc. Podiatrist PastSince Jan 1, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1326067281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 SOUTH PINELLAS AVENUE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "34689",
            "telephone_number": "727-937-6398",
            "fax_number": "727-937-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 SOUTH PINELLAS AVENUE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "34689",
            "telephone_number": "727-937-6398",
            "fax_number": "727-937-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELELLIS",
        "first_name": "SALVATORE",
        "middle_name": "LEONARD",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P01223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87660",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406480477",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041300300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.