Individual provider Active NPI

Michael Pasternac, DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1366442824
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2971 Issued in FL
Practice address
3626 NW 7TH St
Miami, FL 33125-4069
Phone
(305) 305-5936
Fax
(305) 221-2033
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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 PO2971 FL Primary

Addresses

Primary practice location

3626 NW 7TH St
Miami, FL 33125-4069

Mailing address

3626 NW 7TH St
Miami, FL 33125-4069
Phone (305) 305-5936

Other identifiers 1

IdentifierTypeStateIssuer
340369600MedicaidFL

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
I20031209000874 FL Practitioner - Podiatry 1254237480 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manuel J. Sone DPM PAGroup PAC ID 4284689670, 3 clinicians
National Podiatric Network IncGroup PAC ID 5395795645, 3 clinicians

Practice addresses (Care Compare)

15 Alcantarra Ave
Coral Gables, FL 33134-1807

3626 NW 7 St
Miami, FL 33125-4069
Phone (305) 305-5936

9831 NW 58TH St
Unit 127
Doral, FL 33178-2714
Phone (305) 221-6862

Hospital & facility affiliations

  • Caritas Home Health Care Inc Home health agency, Miami, FL, CCN 109112
  • Coral Gables Hospital Hospital, Coral Gables, FL, CCN 100183
  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1336
Removal of nail tissue1369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
National Podiatric Network Inc Foot & Ankle Surgery CurrentSince Apr 1, 2006 Accepting new patients
Michael Pasternac DPM PA Foot & Ankle Surgery CurrentSince Feb 7, 2011 Accepting new patients
SDR Clinic and Sleep Disorder Institute LLC Past Accepting new patients

Locations

9831 NW 58th St
Unit 127
Doral, FL 33178
Phone (305) 221-6862

3621 SW 107th Ave
Miami, FL 33165
Phone (305) 221-6862

3626 NW 7th St
Miami, FL 33125
Phone (305) 305-5936

11760 SW 40th St
Ste 451
Miami, FL 33175
Phone (305) 227-9233

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": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1366442824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254069",
            "telephone_number": "305-305-5936",
            "fax_number": "305-221-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 NW 7TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254069",
            "telephone_number": "305-305-5936",
            "fax_number": "305-221-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTERNAC",
        "first_name": "MICHAEL",
        "credential": "DPM PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340369600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.