Individual provider Active NPI

John W Mina, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
National Provider Identifier
1457335770
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO1386 Issued in FL
Practice address
8851 Boardroom Circle
Ft Myers, FL 33919-4888
Phone
(239) 481-7000
Fax
(239) 481-5180
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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 Podiatrist 213ES0103X PO1386 FL Primary

Addresses

Primary practice location

8851 Boardroom Circle
Ft Myers, FL 33919-4888

Mailing address

8851 Boardroom Circle
Ft Myers, FL 33919-4888
Phone (239) 481-7000

Other identifiers 2

IdentifierTypeStateIssuer
1065630001OtherFLMEDICARE DME
480000496AOtherFLRAILROAD MEDICARE

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
I20100903000982 FL Practitioner - Podiatry 6901945518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Medicine and Surgery LLCGroup PAC ID 8123167723, 17 clinicians

Practice addresses (Care Compare)

88 Pine Island Rd
Suite 2
N Fort Myers, FL 33903-3745
Phone (239) 995-1588

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
59.91
Promoting interoperability
99
Improvement activities
40
Cost
80.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue182
Removal of skin lesions152
Removal of nail tissue500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO1386FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Medicine & Surgery LLC Foot & Ankle Surgery CurrentSince Aug 10, 2018 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Associates in Medicine & Surgery LLC Foot & Ankle Surgery PastSince Aug 10, 2018 Accepting new patients

Locations

8851 Boardroom Cir
Fort Myers, FL 33919
Phone 23948170008810

11821 Palm Beach Blvd
Unit 124
Fort Myers, FL 33905
Phone (239) 693-6565

88 Pine Island Rd
Ste 2
North Ft Myers, FL 33903
Phone (239) 995-1588

Interoperability endpoints

  • Direct secure messaging: john.mina@aims.eclinicaldirectplus.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, 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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1457335770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 BOARDROOM CIRCLE",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339194888",
            "telephone_number": "239-481-7000",
            "fax_number": "239-481-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 BOARDROOM CIRCLE",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339194888",
            "telephone_number": "239-481-7000",
            "fax_number": "239-481-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINA",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO1386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "1065630001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480000496A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.