Individual provider Active NPI

Joris F Claessens, DPM

  • Foot & Ankle Surgery Podiatrist
  • Longwood, FL
National Provider Identifier
1609212125
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4029 Issued in FL
Practice address
572 Tall Oaks Ter
Longwood, FL 32750-8419
Phone
(407) 462-1831
NPI assigned
May 13, 2013
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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 PO4029 FL Primary

Addresses

Primary practice location

572 Tall Oaks Ter
Longwood, FL 32750-8419

Mailing address

3415 W Lake Mary Blvd Unit 950848
Lake Mary, FL 32795-7535
Phone (407) 462-1831

Other practice location 1

680 W Monroe St
Wytheville, VA 24382-2240
Phone (276) 228-2212

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
I20181019000587 FL Practitioner - Podiatry 3971896382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

572 Tall Oaks Ter
Longwood, FL 32750-8419
Phone (407) 636-5455

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue135
Removal of nail tissue2864
Removal or shaving of skin growth939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JNC Podiatry LLC Foot & Ankle Surgery CurrentSince Jun 25, 2020 Accepting new patients

Locations

3415 W Lake Mary Blvd
Unit 950848
Lake Mary, FL 32795

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, 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": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1609212125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 W LAKE MARY BLVD UNIT 950848",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327957535",
            "telephone_number": "407-462-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 TALL OAKS TER",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327508419",
            "telephone_number": "407-462-1831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 W Monroe St",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243822240",
            "country_code": "US",
            "telephone_number": "276-228-2212",
            "fax_number": "276-228-7835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAESSENS",
        "first_name": "JORIS",
        "middle_name": "F",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.