Active NPI
Samir S Vakil, DPM
- Foot & Ankle Surgery Podiatrist
- Punta Gorda, FL
National Provider Identifier
1669468229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO002258
- Practice address
- 352 Milus St
Punta Gorda, FL 33950-4552 - Phone
- (941) 639-0025
- Fax
- (941) 374-7271
- NPI assigned
- Sep 20, 2005
- Reactivated
- Apr 11, 2006
- Sex
- Male
- 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 | PO002258 | FL | Primary |
Addresses
Primary practice location
352 Milus St
Punta Gorda, FL 33950-4552
Mailing address
PO Box 511269
Punta Gorda, FL 33951-1269
Phone (941) 639-0025
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390120300 | Medicaid | FL | |
| 480015191 | Other | RAILROAD MEDICARE PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
1940 Tamiami TRL
Suite 104
Port Charlotte, FL 33948-2105
Phone (941) 883-0083
352 Milus St
Punta Gorda, FL 33950-4552
Phone 9416390025203
Hospital & facility affiliations
- The Roads Home Health Southwest Florida
- Assisted Home Health Inc
- Millennium Home Care LLC
- Adventhealth Port Charlotte
- HCA Florida Fawcett Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.93 of 100
- Quality
- 71.86
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 104 |
| Removal of skin lesions | 16 |
| Removal of nail tissue | 940 |
| Removal or shaving of skin growth | 836 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO002258 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot & Ankle Centers of Charlotte County | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Podiatric Medicine Podiatrist
- Punta Gorda, FL
- NPI 1013068709
-
- Primary Podiatric Medicine Podiatrist
- Punta Gorda, FL
- NPI 1841528445
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fort Myers, FL
- NPI 1144514696
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1760299093
-
- Home Health Agency
- Punta Gorda, FL
- NPI 1497177604
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
-
- Home Health Agency
- Port Charlotte, FL
- NPI 1700058583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1669468229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 511269",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339511269",
"telephone_number": "941-639-0025",
"fax_number": "941-347-7271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 MILUS ST",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339504552",
"telephone_number": "941-639-0025",
"fax_number": "941-374-7271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAKIL",
"first_name": "SAMIR",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2010-03-24",
"deactivation_date": "2006-03-23",
"reactivation_date": "2006-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO002258",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390120300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "480015191",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.