Individual provider Active NPI

Amy K Bodart, DPM

  • Foot & Ankle Surgery Podiatrist
  • Melbourne, FL
National Provider Identifier
1447592464
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3599 Issued in FL
Practice address
1601 S Apollo Blvd
Melbourne, FL 32901-4615
Phone
(321) 204-0279
NPI assigned
Mar 18, 2013
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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 2236 TX
Foot & Ankle Surgery Podiatrist 213ES0103X PO3599 FL Primary

Addresses

Primary practice location

1601 S Apollo Blvd
Melbourne, FL 32901-4615

Mailing address

4101 Charlotte Ave Ste F185
Nashville, TN 37209-4066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140415000775 FL Practitioner - Podiatry 9436381969 Reassigns benefits to 2 organizations
I20160920000231 TX Practitioner - Podiatry 9436381969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan K Anderson D P M P CGroup PAC ID 7517999121, 51 clinicians
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Pascarella Hoover Finkelstein and Wagner DPM PAGroup PAC ID 9436235645, 102 clinicians

Practice addresses (Care Compare)

1225 E Cliff Dr
Suite 2a
El Paso, TX 79902-4700
Phone (915) 598-3338

1601 S Apollo Blvd
Melbourne, FL 32901-4484
Phone (321) 952-1234

1601 S Apollo Blvd
Melbourne, FL 32901-4615
Phone (321) 204-0279

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.65 of 100Reported as individual
Quality
63.02
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue134
Removal of nail tissue305
Removal or shaving of skin growth13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2236TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
MBV PLLC CurrentSince Aug 22, 2025 Accepting new patients
MBV PLLC Foot & Ankle Surgery CurrentSince Aug 22, 2025 Accepting new patients
Ryan K Anderson D P M P C Foot & Ankle Surgery CurrentSince Sep 12, 2024 Accepting new patients

Locations

11613 N Central Expy
Ste 121
Dallas, TX 75243
Phone (214) 691-0760

10500 Vista del Sol Dr
Ste A
El Paso, TX 79925
Phone (915) 592-2634

1225 E Cliff Dr
Ste 2A
El Paso, TX 79902
Phone (915) 533-1622

1618 N Lee Trevino Dr
Ste D
El Paso, TX 79936
Phone (206) 703-2204

1721 N Lee Trevino Dr
Ste 103
El Paso, TX 79936
Phone (915) 433-8185

9701 N Sam Houston Pkwy E
Ste 150
Humble, TX 77396
Phone (281) 973-5237

9191 Pinecroft Dr
Ste 100
Shenandoah, TX 77380
Phone (866) 680-9355

9191 Pinecroft Dr
Ste 130
Shenandoah, TX 77380

596 W 750 S
Ste 200
Bountiful, UT 84010
Phone (801) 292-4425

434 W Ascension Way
Ste 425
Salt Lake City, UT 84123

Interoperability endpoints

  • Direct secure messaging: amy.bodart.1@9380.direct.athenahealth.com

Organizations & group practices 5

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.

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": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1447592464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 CHARLOTTE AVE STE F185",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S APOLLO BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014615",
            "telephone_number": "321-204-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODART",
        "first_name": "AMY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2236",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.