Active NPI
Sandra Rachel Gotman, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Miami, FL
National Provider Identifier
1508851692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- P0-1678
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029757700 | Medicaid | FL | |
| 87910 | Other | FL | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0-1678 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Towers Medical LLC | Past | Accepting new patients | |
| Intercontinental Medical Network Inc | Past | 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.
-
- Foot & Ankle Surgery Podiatrist
- Miami, FL
- NPI 1861634065
-
- General Practice Physician
- Miami, FL
- NPI 1922043777
-
- Surgery Physician
- Tamarac, FL
- NPI 1881071678
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.