Individual provider Active NPI

Dock Anderson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bay Harbor Islands, FL
National Provider Identifier
1356574651
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3461 Issued in FL
Practice address
1085 Kane Concourse
Bay Harbor Islands, FL 33154-2105
Phone
(305) 746-1100
NPI assigned
Sep 2, 2009
Last updated
Mar 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X PO3461 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO3461 FL Primary

Addresses

Primary practice location

1085 Kane Concourse
Bay Harbor Islands, FL 33154-2105

Mailing address

1085 Kane Concourse
Bay Harbor Islands, FL 33154-2105
Phone (305) 746-1100

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110718000075 FL Practitioner - PodiatryPractitioner - Sports Medicine 1052589108 Reassigns benefits to 1 organization
Practice locations: Bay Harbor Islands, FL; Miami Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: Sports Medicine
Education
Barry University School of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Practices of MSMC LLCGroup PAC ID 9436336120, 180 clinicians

Practice addresses (Care Compare)

1085 Kane Concourse
Bay Harbor Islands, FL 33154-2105
Phone (305) 674-2090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue114
Removal of nail tissue94
Removal or shaving of skin growth34
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PO3461FLMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practices of MSMC, LLC CurrentSince Mar 1, 2024 Accepting new patients
Wittels Orthopaedic & Sports Medicine Center PA PastSince Oct 1, 1999 Accepting new patients
Norman B. Turoff, M.D. P.a. Past Accepting new patients

Locations

1085 Kane Concourse
Bay Harbor Islands, FL 33154
Phone (305) 674-2090

4300 Alton Rd
Ste 2250
Miami Beach, FL 33140
Phone (305) 535-8099

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

Interoperability endpoints

  • Direct secure messaging: danderson5238@direct.msmc.com
  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

Organizations & group practices 3

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 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": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1356574651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 KANE CONCOURSE",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542105",
            "telephone_number": "305-746-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 KANE CONCOURSE",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542105",
            "telephone_number": "305-746-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DOCK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-02",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "FL",
            "license": "PO3461",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Harbor Islands, FL

Sources for this page

Verify at the official NPI Registry.