Individual provider Active NPI

Michael Anthony Mazziotta II, DPM

  • Foot & Ankle Surgery Podiatrist
  • Vero Beach, FL
National Provider Identifier
1407009459
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3489 Issued in FL
Practice address
1880 37TH Street Suite 4
Vero Beach, FL 32960
Phone
(772) 569-0081
Fax
(772) 569-0819
NPI assigned
Nov 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC005981 PA
Foot & Ankle Surgery Podiatrist 213ES0103X PO3489 FL Primary

Addresses

Primary practice location

1880 37TH Street Suite 4
Vero Beach, FL 32960

Mailing address

PO Box 99
Vero Beach, FL 32961
Phone (772) 569-0081

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
I20120202000307 FL Practitioner - Podiatry 7214112036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian River Podiatry P.a.Group PAC ID 7012120702, 3 clinicians

Practice addresses (Care Compare)

1515 US Hwy 1
Suite 204
Sebastian, FL 32958-1612
Phone (772) 569-0081

1880 37TH St
Suite 4
Vero Beach, FL 32960-6594
Phone (772) 569-0081

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Port Saint Lucie, FL, CCN 109610

Merit-based Incentive Payment System (MIPS)

Final score
93 of 100Reported as individual
Quality
90
Promoting interoperability
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue181
Removal of skin lesions194
Removal of nail tissue1452
Removal or shaving of skin growth1336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Podiatry, PA Foot & Ankle Surgery Current Accepting new patients
Indian River Podiatry, PA Foot & Ankle Surgery CurrentSince Feb 1, 2011 Accepting new patients
Foot & Ankle Specialty Center, P.C. Foot & Ankle Surgery Past Accepting new patients
Curalta Foot and Ankle Penn PC Foot & Ankle Surgery Past Accepting new patients

Locations

1515 US Highway 1
Ste 204
Sebastian, FL 32958
Phone (772) 388-1161

1880 37th St
Ste 4
Vero Beach, FL 32960
Phone (772) 569-0081

Interoperability endpoints

  • Direct secure messaging: mmazziotta@indianriver.mdlogic.direct-ci.com

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 1

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": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1407009459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32961",
            "telephone_number": "772-569-0081",
            "fax_number": "772-569-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 37TH STREET SUITE 4",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-569-0081",
            "fax_number": "772-569-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZIOTTA",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-03",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005981",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.