Individual provider Active NPI

Mark Beylin, DPM

  • Foot & Ankle Surgery Podiatrist
  • Merritt Island, FL
National Provider Identifier
1356391601
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2911 Issued in FL
Practice address
2404 N Courtenay Pkwy
Merritt Island, FL 32953-4191
Phone
(321) 452-1327
Fax
(321) 454-9208
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 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 PO2911 FL Primary

Addresses

Primary practice location

2404 N Courtenay Pkwy
Merritt Island, FL 32953-4191

Mailing address

2404 N Courtenay Pkwy
Merritt Island, FL 32953-4191
Phone (321) 452-1327

Other identifiers 1

IdentifierTypeStateIssuer
1356391601OtherNPI

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
I20041116000567 FL Practitioner - Podiatry 9537123955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

2404 N Courtenay Pkwy
Merritt Island, FL 32953-4127
Phone (321) 452-1327

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 tissue1-10
Removal of nail tissue48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Merritt Island Foot & Ankle Inc Foot & Ankle Surgery CurrentSince Nov 1, 2014 Accepting new patients
Victoria a Gensemer D.P.M., P.a. Foot & Ankle Surgery PastSince Apr 30, 2006 Accepting new patients
Sports Medicine Associates of South Florida, P.a. PastSince Jul 1, 1998 Accepting new patients
Boca Deerfield Foot Care Center Inc Past Accepting new patients

Locations

6549 N Wickham Rd
Ste E103
Melbourne, FL 32940

2404 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 452-1327

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 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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1356391601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534191",
            "telephone_number": "321-452-1327",
            "fax_number": "321-454-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534191",
            "telephone_number": "321-452-1327",
            "fax_number": "321-454-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYLIN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356391601",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.