Active NPI
Michael Anthony Mazziotta II, DPM
- Foot & Ankle Surgery Podiatrist
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3489
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 93 of 100
- Quality
- 90
- Promoting interoperability
- 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 181 |
| Removal of skin lesions | 194 |
| Removal of nail tissue | 1452 |
| Removal or shaving of skin growth | 1336 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Podiatry, PA | Foot & Ankle Surgery | Current | Accepting new patients |
| Indian River Podiatry, PA | Foot & Ankle Surgery | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Vero Beach, FL
- NPI 1164443859
-
- Foot & Ankle Surgery Podiatrist
- Sebastian, FL
- NPI 1609408996
-
- Foot & Ankle Surgery Podiatrist
- Doylestown, PA
- NPI 1447002274
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Port St Lucie, FL
- NPI 1285191825
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.