Organization Active NPI

Sunshine Ankle and Foot Experts PLLC

  • Foot & Ankle Surgery Podiatrist
  • Orlando, FL
National Provider Identifier
1679235352
Registry record updated Oct 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
SUNSHINE ANKLE AND FOOT EXPERTS PLLC
Practice address
3701 Avalon Park West Blvd Ste 225
Orlando, FL 32828-7303
Phone
(407) 863-3655
Fax
(321) 248-3763
NPI assigned
Oct 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2021

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

Authorized official

Name
Dr. Kiana Karbasi, DPMNPI 1194189589
Title
Owner
Phone
(617) 758-9919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

3701 Avalon Park West Blvd Ste 225
Orlando, FL 32828-7303

Mailing address

3701 Avalon Park West Blvd Ste 225
Orlando, FL 32828-7303
Phone (407) 863-3655

Other names 3

  • SAFE Doing business as
  • Sunshine Ankle & Foot Experts Doing business as
  • Sunshine Ankle and Foot Experts Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211130002184 FL Part B Supplier - Clinic/Group Practice 1951791243 Receives reassigned benefits from 2 practitioners
Practice locations: Orlando, FL
O20220519001008 FL DME Supplier - Physician - Podiatry 1951791243 Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

3701 Avalon Park West Blvd
#225
Orlando, FL 32828

3701 Avalon Park West Blvd
Ste 225
Orlando, FL 32828
Phone (407) 863-3655

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633737600000",
    "number": "1679235352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 AVALON PARK WEST BLVD STE 225",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287303",
            "telephone_number": "407-863-3655",
            "fax_number": "321-248-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 AVALON PARK WEST BLVD STE 225",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287303",
            "telephone_number": "407-863-3655",
            "fax_number": "321-248-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE ANKLE AND FOOT EXPERTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-09",
        "last_updated": "2021-10-09",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "KARBASI",
        "authorized_official_first_name": "KIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-758-9919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunshine Ankle & Foot Experts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunshine Ankle and Foot Experts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.