Individual provider Active NPI

Zishan Quader, DPM

  • Primary Podiatric Medicine Podiatrist
  • Stuart, FL
National Provider Identifier
1417692179
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO4640 Issued in FL
Practice address
3515 SE Willoughby Blvd
Stuart, FL 34994-5059
Phone
(772) 283-3800
NPI assigned
Apr 27, 2022
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X PO4640 FL Primary

Addresses

Primary practice location

3515 SE Willoughby Blvd
Stuart, FL 34994-5059

Mailing address

3515 SE Willoughby Blvd
Stuart, FL 34994-5059
Phone (772) 283-3800

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
I20250716001945 FL Practitioner - Podiatry 7719492917 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Foot and Ankle Care IncGroup PAC ID 6608889415, 4 clinicians
Quality Podiatry Group of FL LTDGroup PAC ID 1456489236, 8 clinicians

Practice addresses (Care Compare)

4801 Swift Rd
Suite F
Sarasota, FL 34231-5139
Phone (941) 921-3000

7025 Beracasa Way
Suite 102G
Boca Raton, FL 33433-3428
Phone (786) 975-2090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue44
Removal of skin lesions1-10
Removal of nail tissue345
Removal or shaving of skin growth99
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4640FLMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jessica Taub Podiatry DPM LLC Primary Podiatric Medicine CurrentSince Sep 1, 2025 Accepting new patients

Locations

10975 SE Federal Hwy
Hobe Sound, FL 33455
Phone (772) 283-3800

1331 SE Port St Lucie Blvd
Ste 101
Port St Lucie, FL 34952
Phone (772) 283-3800

3515 SE Willoughby Blvd
Stuart, FL 34994
Phone (772) 210-2037

943 SE Central Pkwy
Stuart, FL 34994
Phone (772) 283-3800

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: zquader495167@nyumc.direct-ci.com

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": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1417692179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 SE WILLOUGHBY BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349945059",
            "telephone_number": "772-283-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 SE WILLOUGHBY BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349945059",
            "telephone_number": "772-283-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUADER",
        "first_name": "ZISHAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-27",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO4640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.