Individual provider Active NPI

Hany M Jeffry, DPM

  • Foot & Ankle Surgery Podiatrist
  • Yulee, FL
National Provider Identifier
1376887661
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3689 Issued in FL
Practice address
96098 Victorias PL
Yulee, FL 32097-6349
Phone
(904) 432-7309
Fax
(904) 432-7281
NPI assigned
Nov 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 PO3689 FL Primary

Addresses

Primary practice location

96098 Victorias PL
Yulee, FL 32097-6349

Mailing address

96098 Victorias PL
Yulee, FL 32097-6349
Phone (904) 432-7309

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
I20150914002319 FL Practitioner - Podiatry 9032426796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

96098 Victorias PL
Yulee, FL 32097-6349
Phone (904) 432-7309

Hospital & facility affiliations

  • Access Home Health Home health agency, Jacksonville, FL, CCN 687026
  • Baptist Medical Center - Nassau Hospital, Fernandina Beach, FL, CCN 100140

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue128
Removal of skin lesions1-10
Removal of nail tissue12
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3689FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services II, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2015 Accepting new patients
Jeff Podiatry PA Foot & Ankle Surgery CurrentSince Apr 1, 2020 Accepting new patients
Tenet Florida Physician Services II, LLC CurrentSince Jul 1, 2015 Accepting new patients

Locations

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

96098 Victorias Pl
Yulee, FL 32097
Phone (904) 321-4097

Interoperability endpoints

  • Direct secure messaging: hjeffry534536@direct.shands.ufl.edu

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 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": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1376887661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96098 VICTORIAS PL",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320976349",
            "telephone_number": "904-432-7309",
            "fax_number": "904-432-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96098 VICTORIAS PL",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320976349",
            "telephone_number": "904-432-7309",
            "fax_number": "904-432-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRY",
        "first_name": "HANY",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-27",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yulee, FL

Sources for this page

Verify at the official NPI Registry.