Individual provider Active NPI

Vanisaben Patel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Melbourne, FL
National Provider Identifier
1679199962
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4369 Issued in FL
Practice address
709 S Harbor City Blvd Ste 110
Melbourne, FL 32901-1906
Phone
(321) 499-4646
Fax
(321) 270-9449
NPI assigned
Jun 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X PO4369 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO4369 FL Primary
Podiatrist 213E00000X PO4369 FL
Primary Podiatric Medicine Podiatrist 213EP1101X PO4369 FL
Foot Surgery Podiatrist 213ES0131X PO4369 FL

Addresses

Primary practice location

709 S Harbor City Blvd Ste 110
Melbourne, FL 32901-1906

Mailing address

709 S Harbor City Blvd Ste 110
Melbourne, FL 32901-1906
Phone (321) 499-4646

Other identifiers 5

IdentifierTypeStateIssuer
15856328OtherFLCAQH
00008498716002OtherFLUNITED HEALTHCARE
118141300MedicaidFL
3410470OtherWELLCARE
NU6MDOtherFLFL BLUE BCBS

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
I20230508002208 FL Practitioner - Podiatry 1456716802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Podiatry Group Inc.Group PAC ID 0042252140, 42 clinicians
Total Spine and WellnessGroup PAC ID 9931516804, 6 clinicians

Practice addresses (Care Compare)

10016 Wellness Way
Suite 130
Orlando, FL 32832-7176
Phone (407) 650-0248

709 S Harbor City Blvd
Suite 110
Melbourne, FL 32901-1906
Phone (321) 499-4646

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue68
Removal or shaving of skin growth49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Spine & Wellness Foot & Ankle Surgery CurrentSince Sep 1, 2025 Accepting new patients
All Podiatry Group Inc Podiatrist CurrentSince May 1, 2023 Accepting new patients
Anne McNamara DPM PL Podiatrist Past Accepting new patients

Locations

540 Medical Oaks Ave
Ste 101
Brandon, FL 33511
Phone (813) 681-3558

3070 Loopdale Ln
Kissimmee, FL 34741
Phone (407) 530-3448

709 S Harbor City Blvd
Ste 110
Melbourne, FL 32901
Phone (321) 499-4646

10016 Wellness Way
Ste 130
Orlando, FL 32832
Phone (407) 650-0248

2511 W Mlk Blvd
Tampa, FL 33607
Phone (813) 400-1140

15815 Shaddock Dr
Ste 130
Winter Garden, FL 34787
Phone (407) 605-2321

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1679199962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S HARBOR CITY BLVD STE 110",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011906",
            "telephone_number": "321-499-4646",
            "fax_number": "321-270-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S HARBOR CITY BLVD STE 110",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011906",
            "telephone_number": "321-499-4646",
            "fax_number": "321-270-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VANISABEN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "FL",
            "license": "PO4369",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4369",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4369",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO4369",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO4369",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15856328",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "00008498716002",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118141300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "3410470",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE BCBS",
            "identifier": "NU6MD",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.