Individual provider Active NPI

Sandra Rachel Gotman, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1508851692
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
P0-1678 Issued in FL
Practice address
11760 SW 40TH St Ste 448
Miami, FL 33175-3598
Phone
(305) 229-9595
Fax
(305) 229-9596
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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 P0-1678 FL Primary

Addresses

Primary practice location

11760 SW 40TH St Ste 448
Miami, FL 33175-3598

Mailing address

8200 NW 27TH St Ste 108
Doral, FL 33122-1902
Phone (786) 662-3893

Other identifiers 2

IdentifierTypeStateIssuer
029757700MedicaidFL
87910OtherFLBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Miami Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P0-1678FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Towers Medical LLC Past Accepting new patients
Intercontinental Medical Network Inc PastSince Feb 4, 2018 Accepting new patients

Organizations & group practices 3

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1508851692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 NW 27TH ST STE 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221902",
            "telephone_number": "786-662-3893",
            "fax_number": "786-662-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST STE 448",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753598",
            "telephone_number": "305-229-9595",
            "fax_number": "305-229-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTMAN",
        "first_name": "SANDRA",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "P0-1678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029757700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87910",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11760 SW 40th St Ste 448",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331753598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.