Individual provider Active NPI

Ettore Vulcano, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Miami Beach, FL
National Provider Identifier
1689070906
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
ME147366 Issued in FL
Practice address
4302 Alton Rd Ste 220
Miami Beach, FL 33140-2818
Phone
(305) 674-2090
Fax
(305) 674-2093
NPI assigned
Nov 13, 2014
Last updated
Jun 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X ME147366 FL Primary

Addresses

Primary practice location

4302 Alton Rd Ste 220
Miami Beach, FL 33140-2818

Mailing address

4302 Alton Rd Ste 220
Miami Beach, FL 33140-2818
Phone (305) 674-2090

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address evulcano71267@direct.msmc.com Direct
FHIR URL https;//epicfhir.msmc.com/proxysite-prd/api/fhir/r4 Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161227001244 NY Practitioner - Orthopedic Surgery 6204135684 Reassigns benefits to 2 organizations
I20200817001768 FL Practitioner - Orthopedic Surgery 6204135684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Practices of MSMC LLCGroup PAC ID 9436336120, 180 clinicians

Practice addresses (Care Compare)

1085 Kane Concourse
Bay Harbor Islands, FL 33154-2105
Phone (305) 674-2090

2505 Flagler Ave
Key West, FL 33040-3934
Phone (305) 295-6760

2845 Aventura Blvd
Aventura, FL 33180-3120
Phone (305) 692-1080

4302 Alton Rd
Miami Beach, FL 33140-2818

4306 Alton Rd
2ND Floor
Miami Beach, FL 33140-2800

4310 Alton Rd
3Rd Floor
Miami Beach, FL 33140-2800
Phone (305) 535-3300

6050 W 20TH Ave
FL 3
Hialeah, FL 33016-2605
Phone (786) 584-5555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME147366FLMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Nov 5, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Physician Practices of MSMC, LLC CurrentSince Oct 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2017 Accepting new patients

Locations

4302 Alton Rd
Ste 220
Miami Beach, FL 33140
Phone (305) 532-6006

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1000 10th Ave
Ste 3A35
New York, NY 10019
Phone (212) 523-7599

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: evulcano71267@direct.msmc.com
  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

Organizations & group practices 5

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.

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": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1689070906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 220",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402818",
            "telephone_number": "305-674-2090",
            "fax_number": "305-674-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 220",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402818",
            "telephone_number": "305-674-2090",
            "fax_number": "305-674-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VULCANO",
        "first_name": "ETTORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-13",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "FL",
            "license": "ME147366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evulcano71267@direct.msmc.com",
            "affiliation": "N",
            "endpointDescription": "DIRECT ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4302 Alton Rd Ste 220",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https;//epicfhir.msmc.com/proxysite-prd/api/fhir/r4",
            "affiliation": "N",
            "endpointDescription": "FHIR API",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4302 Alton Rd Ste 220",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331402818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.