NPIMap

Organization Active NPI

Kussel & Associates Inc.

  • Foot & Ankle Surgery Podiatrist
  • Clearwater, FL
National Provider Identifier
1679741920
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2632 Issued in FL
Legal business name
KUSSEL & ASSOCIATES INC.
Practice address
2378 Sunset Point Rd
Clearwater, FL 33765
Phone
(727) 797-5007
Fax
(727) 725-9737
NPI assigned
Feb 20, 2008
Organization subpart
Yes
Parent organization
KUSSEL & ASSOCIATES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Dr. Fred O Kussel
Title
President / Podiatrist
Phone
(727) 797-5007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X PO 2632 FL
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X PO2632 FL Primary

Addresses

Primary practice location

2378 Sunset Point Rd
Clearwater, FL 33765

Mailing address

2378 Sunset Point Rd
Clearwater, FL 33765
Phone (727) 797-5007

Other identifiers 1

IdentifierTypeStateIssuer
390383400MedicaidFL

Other names 1

  • Fred Kussel D.P.M. Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080908000271 FL Part B Supplier - Clinic/Group Practice 5193891604 Receives reassigned benefits from 7 practitioners
Practice locations: Clearwater, FL; Tampa, FL
O20100930003575 FL DME Supplier - Physician - Podiatry 5193891604 Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory
Tax ID family
Kussel Associates Inc2 organizations share this tax ID, including this one
Part of
Kussel Associates Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1302 W Swann Ave
Tampa, FL 33606
Phone (813) 250-3668

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1679741920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2378 SUNSET POINT RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33765",
            "telephone_number": "727-797-5007",
            "fax_number": "727-725-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2378 SUNSET POINT RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33765",
            "telephone_number": "727-797-5007",
            "fax_number": "727-725-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUSSEL & ASSOCIATES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KUSSEL & ASSOCIATES INC",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "KUSSEL",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT / PODIATRIST",
        "authorized_official_telephone_number": "727-797-5007",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 2632",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390383400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fred Kussel D.P.M.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.