Individual provider Active NPI

Julian Robert Menendez, DPM

  • Podiatrist
  • St Petersburg, FL
National Provider Identifier
1669483517
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3257 Issued in FL
Practice address
5415 Park St N Ste C
St Petersburg, FL 33709-1028
Phone
(727) 544-5425
Fax
(727) 544-5440
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X PO3257 FL
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X PO3257 FL Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X PO3257 FL

Addresses

Primary practice location

5415 Park St N Ste C
St Petersburg, FL 33709-1028

Mailing address

5415 Park St N Ste C
St Petersburg, FL 33709-1028
Phone (727) 544-5425

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
I20070224000051 FL Practitioner - Podiatry 4981706728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5415 Park St N
Suite C
Saint Petersburg, FL 33709-1028
Phone (727) 544-5425

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue117
Removal of skin lesions1-10
Removal of nail tissue503
Removal or shaving of skin growth490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3257FLMDWound Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Foot and Ankle Care PLLC Multi-Specialty CurrentSince Mar 23, 2010 Accepting new patients

Locations

5415 Park St N
Ste C
St Petersburg, FL 33709
Phone (727) 544-5425

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/tW68ZW-Hmy7Lzce-ns8ohuxjCYcMJFzU/

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1669483517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 PARK ST N STE C",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091028",
            "telephone_number": "727-544-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 PARK ST N STE C",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091028",
            "telephone_number": "727-544-5425",
            "fax_number": "727-544-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENENDEZ",
        "first_name": "JULIAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "FL",
            "license": "PO3257",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3257",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.