Individual provider Active NPI

Manuel J Sone, DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Hialeah, FL
National Provider Identifier
1396744272
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2282 Issued in FL
Practice address
777 E 25TH St
Suite 302
Hialeah, FL 33013-3825
Phone
(305) 696-3444
NPI assigned
Jul 21, 2005
Last updated
Sep 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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 PO2282 FL Primary

Addresses

Primary practice location

777 E 25TH St
Suite 302
Hialeah, FL 33013-3825

Mailing address

9831 NW 58TH St
Suite # 127
Doral, FL 33178-2713
Phone (305) 221-6862

Other identifiers 1

IdentifierTypeStateIssuer
390055000MedicaidFL

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
I20071029000021 FL Practitioner - Podiatry 5193770584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Podiatric Network IncGroup PAC ID 5395795645, 3 clinicians
Manuel J. Sone DPM PAGroup PAC ID 4284689670, 3 clinicians

Practice addresses (Care Compare)

3621 SW 107TH Ave
Miami, FL 33165-3636
Phone (305) 221-6862

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Manuel J Sone DPM PA Foot & Ankle Surgery CurrentSince Jan 1, 2002 Accepting new patients
Manuel J. Sone DPM PA Foot & Ankle Surgery CurrentSince Jun 1, 1998 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

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1396744272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9831 NW 58TH ST",
            "address_2": "SUITE # 127",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782713",
            "telephone_number": "305-221-6862",
            "fax_number": "305-221-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST",
            "address_2": "SUITE 302",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133825",
            "telephone_number": "305-696-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONE",
        "first_name": "MANUEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390055000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.