Individual provider Active NPI

Todd R Burmeister, D.P.M

  • Podiatrist
  • Naples, FL
National Provider Identifier
1366434599
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1760 Issued in FL
Practice address
681 Goodlette Rd N
#160
Naples, FL 34102-5458
Phone
(239) 263-0200
Fax
(239) 263-8435
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO1760 FL Primary

Addresses

Primary practice location

681 Goodlette Rd N
#160
Naples, FL 34102-5458

Mailing address

681 Goodlette Rd N
#160
Naples, FL 34102-5458
Phone (239) 263-0200

Other identifiers 1

IdentifierTypeStateIssuer
390101770MedicaidFL

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
I20100218000644 FL Practitioner - Podiatry 6608890140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO1760FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle MGMT Current Accepting new patients
Foot and Ankle Management Group LLC Podiatrist CurrentSince Mar 18, 1987 Accepting new patients

Locations

681 Goodlette Rd
Ste 160
Naples, FL 34102
Phone (239) 263-0200

681 Goodlette Rd
#N160
Naples, FL 34102
Phone (239) 263-0200

1865 Veterans Park Dr
Ste 202
Naples, FL 34109
Phone (239) 591-3340

681 Goodlette Rd
Naples, FL 34102
Phone (239) 687-6339

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1366434599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 GOODLETTE RD N",
            "address_2": "#160",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025458",
            "telephone_number": "239-263-0200",
            "fax_number": "239-263-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 GOODLETTE RD N",
            "address_2": "#160",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025458",
            "telephone_number": "239-263-0200",
            "fax_number": "239-263-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURMEISTER",
        "first_name": "TODD",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390101770",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.