Individual provider Active NPI

Rusheena Bartlett, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Plantation, FL
National Provider Identifier
1427581123
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4068 Issued in FL
Practice address
8430 W Broward Blvd Ste 200
Plantation, FL 33324-2700
Phone
(954) 214-0249
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO4068 FL Primary

Addresses

Primary practice location

8430 W Broward Blvd Ste 200
Plantation, FL 33324-2700

Mailing address

PO Box 848598
Pembroke Pines, FL 33084-0598

Other identifiers 1

IdentifierTypeStateIssuer
M9271MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.athenahealth.com/solutions/electronic-health-records

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
I20201118000728 FL Practitioner - Podiatry 8820365372 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bartlett Podiatry, LLCGroup PAC ID 5991116238, 2 clinicians
Kopa LLCGroup PAC ID 5193774461, 40 clinicians

Practice addresses (Care Compare)

100 NW 82ND Ave
Suite 301
Plantation, FL 33324-1835
Phone (954) 214-0249

5900 Lake Ellenor Dr
Suite 700
Orlando, FL 32809-4643
Phone (407) 352-2542

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of skin lesions1-10
Removal of nail tissue1241
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4068FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kopa LLC Single Specialty CurrentSince May 1, 2023 Accepting new patients
Olupona Foot and Ankle, LLC Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
Bartlett Podiatry, LLC Single Specialty CurrentSince Aug 11, 2020 Accepting new patients

Locations

17971 Biscayne Blvd
Ste 109
Aventura, FL 33160
Phone (305) 933-2666

1130 NW 15th St
Boca Raton, FL 33486
Phone (561) 394-6282

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

2601 SW 37th Ave
Ste 904
Miami, FL 33133
Phone (305) 447-6688

2000 N Semoran Blvd
Orlando, FL 32807
Phone (407) 641-5400

5900 Lk Ellenor Dr
Ste 700
Orlando, FL 32809
Phone (407) 216-0101

8430 W Broward Blvd
Ste 200
Plantation, FL 33324
Phone (954) 214-0249

100 NW 82nd Ave
Ste 301
Plantation, FL 33324
Phone (954) 214-0249

Interoperability endpoints

  • Direct secure messaging: rusheena.bartlett.1@19066.direct.athenahealth.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 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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1427581123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848598",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330840598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 W BROWARD BLVD STE 200",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242700",
            "telephone_number": "954-214-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "RUSHEENA",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M9271",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.athenahealth.com/solutions/electronic-health-records",
            "affiliation": "N",
            "address_1": "8430 W Broward Blvd Ste 200",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333242700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.