Individual provider Active NPI

Helen Mate, DPM

  • Foot Surgery Podiatrist
  • Port Orange, FL
National Provider Identifier
1467668566
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO2340 Issued in FL
Practice address
4770 Ridgewood Ave.
Ste. 4
Port Orange, FL 32127-4544
Phone
(386) 767-1000
Fax
(376) 767-1001
NPI assigned
May 15, 2007
Last updated
Jun 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO2340 FL Primary

Addresses

Primary practice location

4770 Ridgewood Ave.
Ste. 4
Port Orange, FL 32127-4544

Mailing address

1648 Taylor Rd.
#157
Port Orange, FL 32128
Phone (386) 767-1000

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
I20040805001597 FL Practitioner - Podiatry 8123916913 Practice locations: Port Orange, FL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4770 S Ridgewood Ave
Suite 4
Port Orange, FL 32127-4543
Phone (386) 767-1000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue18
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2340FLMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
George Varounis DPM Past Accepting new patients
Dr. Brandon M. Zuklie, LLC Foot Surgery Past Accepting new patients
Dr. Brandon M. Zuklie, LLC PastSince Dec 15, 2012 Accepting new patients

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1467668566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 TAYLOR RD.",
            "address_2": "#157",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32128",
            "telephone_number": "386-767-1000",
            "fax_number": "386-767-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 RIDGEWOOD AVE.",
            "address_2": "STE. 4",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274544",
            "telephone_number": "386-767-1000",
            "fax_number": "376-767-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATE",
        "first_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO2340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.