Individual provider Active NPI

Joseph Michael Pusateri, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
National Provider Identifier
1669769519
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3667 Issued in FL
Practice address
8851 Boardroom Cir
Fort Myers, FL 33919-4888
Phone
(239) 481-7000
Fax
(239) 433-8999
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006271 PA
Foot & Ankle Surgery Podiatrist 213ES0103X PO3667 FL Primary

Addresses

Primary practice location

8851 Boardroom Cir
Fort Myers, FL 33919-4888

Mailing address

8851 Boardroom Cir
Fort Myers, FL 33919-4888
Phone (239) 481-7000

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
I20140702002438 FL Practitioner - Podiatry 3274758321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axel Podiatry Services LLCGroup PAC ID 9436433182, 4 clinicians
Associates in Medicine and Surgery LLCGroup PAC ID 8123167723, 17 clinicians

Practice addresses (Care Compare)

3050 Champion Ring Rd
Fort Myers, FL 33905-5599
Phone (239) 313-2901

8851 Boardroom Cir
Fort Myers, FL 33919-4888
Phone (239) 481-7000

Hospital & facility affiliations

  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
  • HCA Florida Lehigh Hospital Hospital, Lehigh Acres, FL, CCN 100107
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
59.91
Promoting interoperability
99
Improvement activities
40
Cost
80.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue412
Removal of skin lesions137
Removal of nail tissue506
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3667FLMDFoot & Ankle Surgery Podiatrist
SC006271PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Axel Podiatry Services LLC CurrentSince Oct 9, 2016 Accepting new patients
Associates in Medicine & Surgery LLC Foot & Ankle Surgery CurrentSince May 9, 2014 Accepting new patients

Locations

3050 Champion Ring Rd
Fort Myers, FL 33905
Phone (239) 313-2900

8851 Boardroom Cir
Fort Myers, FL 33919
Phone 23948170008810

2814 Lee Blvd
Ste 2
Lehigh Acres, FL 33971
Phone (239) 368-5600

Interoperability endpoints

  • Direct secure messaging: joseph.pusateri@aims.eclinicaldirectplus.com

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.

Hospital & facility affiliations 3

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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1669769519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 BOARDROOM CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194888",
            "telephone_number": "239-481-7000",
            "fax_number": "239-433-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 BOARDROOM CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194888",
            "telephone_number": "239-481-7000",
            "fax_number": "239-433-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSATERI",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006271",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.