Individual provider Active NPI

Fredric Chussid, DPM

  • Foot & Ankle Surgery Podiatrist
  • Plantation, FL
National Provider Identifier
1336296094
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO 0001904 Issued in FL
Practice address
201 N University Dr
Ste 110
Plantation, FL 33324-2039
Phone
(954) 370-2400
Fax
(954) 370-2459
NPI assigned
Jan 4, 2007
Last updated
Jan 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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 PO 0001904 FL Primary

Addresses

Primary practice location

201 N University Dr
Ste 110
Plantation, FL 33324-2039

Mailing address

201 N University Dr
Ste 110
Plantation, FL 33324-2039
Phone (954) 370-2400

Other identifiers 1

IdentifierTypeStateIssuer
390094100MedicaidFL

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
I20081014000210 FL Practitioner - Podiatry 5395813638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spinner and Chussid D P M P aGroup PAC ID 6204904535, 3 clinicians

Practice addresses (Care Compare)

201 N University Dr
Suite 110
Plantation, FL 33324-2039
Phone (954) 370-2400

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 tissue135
Removal of nail tissue42
Removal or shaving of skin growth14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 0001904FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spinner and Chussid D P M P a Foot & Ankle Surgery CurrentSince Jan 1, 2008 Accepting new patients

Locations

201 N University Dr
Ste 110
Plantation, FL 33324
Phone (954) 370-2400

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

Hospital & facility affiliations 1

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1336296094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N UNIVERSITY DR",
            "address_2": "STE 110",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242039",
            "telephone_number": "954-370-2400",
            "fax_number": "954-370-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N UNIVERSITY DR",
            "address_2": "STE 110",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242039",
            "telephone_number": "954-370-2400",
            "fax_number": "954-370-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUSSID",
        "first_name": "FREDRIC",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 0001904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390094100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.