NPIMap

Individual provider Active NPI

Roger L Zema, DPM

  • Foot & Ankle Surgery Podiatrist
  • Port Orange, FL
National Provider Identifier
1346221306
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3320 Issued in FL
Practice address
6487 Justin CT
Port Orange, FL 32128-7339
Phone
(904) 501-7635
Fax
(386) 333-6456
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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 PO3320 FL Primary

Addresses

Primary practice location

6487 Justin CT
Port Orange, FL 32128-7339

Mailing address

5535 S Williamson Blvd
Ste 727
Port Orange, FL 32128-8312
Phone (904) 501-7635

Other identifiers 2

IdentifierTypeStateIssuer
65979OtherFLBCBS
340676800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090309000605 FL Practitioner - Podiatry 0749212819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Foot Care AssociatesGroup PAC ID 2668694142, 2 clinicians

Practice addresses (Care Compare)

5535 S Williamson Blvd
Suite 727
Port Orange, FL 32128-8312
Phone (386) 506-8701

Hospital & facility affiliations

  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014

Merit-based Incentive Payment System (MIPS)

Final score
94.5 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Foot Care Associates Foot & Ankle Surgery CurrentSince Aug 8, 2014 Accepting new patients
Health Park Foot & Ankle Associates Inc Past Accepting new patients
Atlantic Podiatry Associates DPM PA Foot & Ankle Surgery Past Accepting new patients
Community Podiatry & Wound Care PA Foot & Ankle Surgery Past Accepting new patients

Locations

5535 S Williamson Blvd
Ste 727
Port Orange, FL 32128
Phone (386) 506-8701

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEBJCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JEBJCA/Endpoint/JEBJCA

Organizations & group practices 4

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 3

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1346221306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 S WILLIAMSON BLVD",
            "address_2": "STE 727",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321288312",
            "telephone_number": "904-501-7635",
            "fax_number": "386-333-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6487 JUSTIN CT",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321287339",
            "telephone_number": "904-501-7635",
            "fax_number": "386-333-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEMA",
        "first_name": "ROGER",
        "middle_name": "L",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65979",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340676800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.