Sung Ho Bae, DPM, P.a

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO 3576 Issued in FL

Legal business name

SUNG HO BAE, DPM, P.A

Practice address

209 NE 95TH St Ste 6
Miami Shores, FL 33138-2745

Phone

(305) 631-2698

Fax

(305) 639-8686

NPI assigned

Sep 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sung Ho Bae, DPMNPI 1093064529

Title

President

Phone

(305) 209-2212

Specialties & licenses 1

Addresses

Other names 1

• Baefoot Podiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sung-Ho Bae, DPM

  • Foot & Ankle Surgery Podiatrist
  • Miami Shores, FL
  • NPI 1093064529
  Medicare reassignment NPD Authorized official
• Rose Myrna Augustin

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1891184719
  NPD
• Comfort Omobola Adewumi, D.O.

  • Internal Medicine Physician
  • Miami Gardens, FL
  • NPI 1477505758
  NPD (past)
• Carmelo Maddy

  • Primary Care Nurse Practitioner
  • Miami, FL
  • NPI 1629473673
  NPD (past)

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1447501820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11347",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331011347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NE 95TH ST STE 6",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382745",
            "telephone_number": "305-631-2698",
            "fax_number": "305-639-8686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 N Bayshore Dr Apt 3814",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331323021",
            "country_code": "US",
            "telephone_number": "305-209-2212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNG HO BAE, DPM, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "SUNG HO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-209-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 3576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baefoot Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Stein
• Stephen J Clifford MD Inc
• Austin Randell Stewart Jr., PHARMD
• Douglas Alan Stokesberry, D.M.D.
• Syed A Subzwari, R,PH.
• Support for Better Living, Inc.
• Chusa Sylvestre
• Tamayo Urgent Care Inc
• Elisabeth Tarazi
• Marsela Mercedes Tejada

• Foot & Ankle Surgery Podiatrist in Miami Shores, FL
• Providers in Miami Shores, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.