Individual provider Active NPI

Victor Miroshnichenko, DPM

  • Foot Surgery Podiatrist
  • Tamarac, FL
National Provider Identifier
1518081595
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO 2442 Issued in FL
Practice address
8333 W McNab Rd
Suite 116
Tamarac, FL 33321-3242
Phone
(954) 721-1990
Fax
(954) 721-1932
NPI assigned
Mar 16, 2007
Last updated
Apr 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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 PO 2442 FL Primary

Addresses

Primary practice location

8333 W McNab Rd
Suite 116
Tamarac, FL 33321-3242

Mailing address

8333 W McNab Rd
Suite 116
Tamarac, FL 33321-3242
Phone (954) 721-1990

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
I20041118000218 FL Practitioner - Podiatry 3476517574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8333 W McNab Rd
Suite 116
Tamarac, FL 33321-3203
Phone (951) 721-1990

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 2442FLMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
V Miroshnichenko DPM PA CurrentSince Jan 24, 2000 Accepting new patients
Karen Lee DPM PA Foot Surgery PastSince Apr 25, 2004 Accepting new patients
Harvard Podiatry Past Accepting new patients

Locations

8333 W McNab Rd
Ste 116
Tamarac, FL 33321
Phone (951) 721-1990

Interoperability endpoints

  • 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, 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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1518081595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 W MCNAB RD",
            "address_2": "SUITE 116",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213242",
            "telephone_number": "954-721-1990",
            "fax_number": "954-721-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 W MCNAB RD",
            "address_2": "SUITE 116",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213242",
            "telephone_number": "954-721-1990",
            "fax_number": "954-721-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIROSHNICHENKO",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO 2442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.