Individual provider Active NPI

Andrew K. Bartell, DPM

  • Primary Podiatric Medicine Podiatrist
  • Jacksonville, FL
National Provider Identifier
1508885872
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO3147 Issued in FL
Practice address
8825 Perimeter Park Blvd
Suite 401
Jacksonville, FL 32216-1108
Phone
(904) 236-5023
Fax
(904) 226-5073
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3147 FL
Primary Podiatric Medicine Podiatrist 213EP1101X PO3147 FL Primary

Addresses

Primary practice location

8825 Perimeter Park Blvd
Suite 401
Jacksonville, FL 32216-1108

Mailing address

8825 Perimeter Park Blvd
Suite 401
Jacksonville, FL 32216-1108
Phone (904) 236-5023

Other identifiers 3

IdentifierTypeStateIssuer
50393OtherFLBLUE CROSS BLUE SHIELD
99763OtherFLBCBS GROUP
340474900MedicaidFL

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
I20040914000925 FL Practitioner - Podiatry 3971570490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Foot and Ankle Center PAGroup PAC ID 5890886428, 2 clinicians

Practice addresses (Care Compare)

8825 Perimeter Park Blvd
Suite 401
Jacksonville, FL 32216-1124
Phone (904) 562-8527

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions91
Removal of nail tissue108
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Foot & Ankle Center PA CurrentSince Mar 19, 2007 Accepting new patients
KG Health Partners, Inc Podiatrist PastSince Nov 5, 2012 Accepting new patients
North Florida Multispecialty Physicians LLC PastSince Mar 19, 2007 Accepting new patients

Locations

8825 Perimeter Park Blvd
Ste 401
Jacksonville, FL 32216
Phone (904) 236-5023

465 Town Plaza Ave
Ste A
Ponte Vedra, FL 32081
Phone (904) 236-5023

465 Town Plaza Ave
Ponte Vedra Beach, FL 32081
Phone (904) 236-5023

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCHICA
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1508885872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 PERIMETER PARK BLVD",
            "address_2": "SUITE 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161108",
            "telephone_number": "904-236-5023",
            "fax_number": "904-236-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 PERIMETER PARK BLVD",
            "address_2": "SUITE 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161108",
            "telephone_number": "904-236-5023",
            "fax_number": "904-226-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELL",
        "first_name": "ANDREW",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3147",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO3147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50393",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "99763",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340474900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.