Individual provider Active NPI

Marissa Ivette Venero, DPM

  • Podiatrist
  • Orlando, FL
National Provider Identifier
1497399083
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PR634 Issued in FL
Practice address
13800 Veterans Way
Orlando, FL 32827-7401
Phone
(720) 425-1837
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PR634 FL Primary

Addresses

Primary practice location

13800 Veterans Way
Orlando, FL 32827-7401

Mailing address

9676 Sweetleaf St
Orlando, FL 32827-6804
Phone (720) 425-1837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251106004175 PA Practitioner - Podiatry 7719477819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pedirite Medical PA PLLC 9 clinicians

Practice addresses (Care Compare)

313 W County Line Rd
Luther Woods Nursing and Rehabilitati
Hatboro, PA 19040-1102
Phone (212) 764-0008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue624
Removal or shaving of skin growth63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR634FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pedirite Medical PA PLLC Podiatrist CurrentSince Aug 25, 2025 Accepting new patients

Locations

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

313 W County Line Rd
Hatboro, PA 19040
Phone (215) 674-5005

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.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1497399083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9676 SWEETLEAF ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328276804",
            "telephone_number": "720-425-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 VETERANS WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277401",
            "telephone_number": "720-425-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENERO",
        "first_name": "MARISSA",
        "middle_name": "IVETTE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PR634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.