Active NPI
Michael Costantino, D.P.M.
- Foot & Ankle Surgery Podiatrist
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO2190
- Practice address
- 1411 N Flagler Dr
Suite 6600
West Palm Beach, FL 33401-3404 - Phone
- (561) 659-7888
- Fax
- (561) 659-7270
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 004375 | NY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO2190 | FL | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0761 | AZ |
Addresses
Primary practice location
1411 N Flagler Dr
Suite 6600
West Palm Beach, FL 33401-3404
Mailing address
1411 N Flagler Dr
Suite 6600
West Palm Beach, FL 33401-3404
Phone (561) 655-1026
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1411 N Flagler Dr
West Palm Beach, FL 33401-3427
Phone (561) 659-7888
Hospital & facility affiliations
- Quadcare LLC
- Good Samaritan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.17 of 100
- Quality
- 73.28
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 61 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1188 |
| Removal or shaving of skin growth | 1027 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0761 | AZ | MD | Acupuncturist |
| PO2190 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Foot and Ankle Care, PA | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
1411 N Flagler Dr
Ste 6600
West Palm Beach, FL 33401
Phone (561) 655-1026
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- West Palm Beach, FL
- NPI 1902246614
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1467488395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N FLAGLER DR",
"address_2": "SUITE 6600",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013404",
"telephone_number": "561-655-1026",
"fax_number": "561-659-7270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N FLAGLER DR",
"address_2": "SUITE 6600",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334013404",
"telephone_number": "561-659-7888",
"fax_number": "561-659-7270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTANTINO",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "004375",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO2190",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "AZ",
"license": "0761",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.