Individual provider Active NPI

Danielle Lee Mustico, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bradenton, FL
National Provider Identifier
1689293375
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4488 Issued in FL
Practice address
1800 Cortez Rd W
Bradenton, FL 34207-1335
Phone
(941) 758-8818
NPI assigned
Apr 13, 2020
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4488 FL
Primary Podiatric Medicine Podiatrist 213EP1101X PO4488 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PDT.0000589 CO
Foot Surgery Podiatrist 213ES0131X PO4488 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO4488 FL Primary

Addresses

Primary practice location

1800 Cortez Rd W
Bradenton, FL 34207-1335

Mailing address

1800 Cortez Rd W
Bradenton, FL 34207-1335
Phone (941) 541-3460

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
I20230425000127 FL Practitioner - Podiatry 8628433711 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Foot and Ankle Care IncGroup PAC ID 6608889415, 4 clinicians

Practice addresses (Care Compare)

4801 Swift Rd
Suite F
Sarasota, FL 34231-5139
Phone (941) 921-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.76 of 100Reported as group
Quality
57.2
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue39
Removal of skin lesions1-10
Removal of nail tissue407
Removal or shaving of skin growth192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PDT.0000589COMDFoot & Ankle Surgery Podiatrist
PO4488FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot and Ankle Care, Inc. Podiatrist CurrentSince May 27, 2025 Accepting new patients
Bruce J Levine DPM PA Foot & Ankle Surgery CurrentSince Aug 29, 2024 Accepting new patients
Advanced Foot & Ankle Center Inc Foot & Ankle Surgery PastSince May 27, 2025 Accepting new patients
Melissa R Winter DPM PLLC Podiatrist PastSince Apr 1, 2023 Accepting new patients

Locations

1800 Cortez Rd W
Bradenton, FL 34207
Phone (941) 758-8818

2521 Countryside Blvd
Clearwater, FL 33763
Phone (727) 797-5008

7915 US Highway 301 N
Ste 104
Ellenton, FL 34222
Phone (941) 776-5199

4801 Swift Rd
Ste F
Sarasota, FL 34231
Phone (941) 921-3000

8430 Cooper Creek Blvd
Ste 101
University Park, FL 34201
Phone (941) 360-9300

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1689293375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071335",
            "telephone_number": "941-541-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071335",
            "telephone_number": "941-758-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTICO",
        "first_name": "DANIELLE",
        "middle_name": "LEE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4488",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO4488",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "PDT.0000589",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO4488",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.