Vito Speciale, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1690 Issued in TX

Practice address

299 Midland Pkwy
B
Summerville, SC 29485-8104

Phone

(843) 851-9069

Fax

(843) 871-8248

NPI assigned

Nov 17, 2005

Last updated

Apr 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Podiatry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Carolina Podiatry IncGroup PAC ID 7214932201, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trident Medical Center Hospital, Charleston, SC, CCN 420079

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coastal Carolina Podiatry Inc

  • Foot & Ankle Surgery Podiatrist
  • Ladson, SC
  • NPI 1154331544
  Medicare reassignment Care Compare group NPD
• Coastal Carolina Podiatry Inc

  • Foot & Ankle Surgery Podiatrist
  • Summerville, SC
  • NPI 1629282744
  NPD (past)
• Flowertown Podiatry, Inc

  • Primary Podiatric Medicine Podiatrist
  • Ladson, SC
  • NPI 1457728032
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Trident Medical Center, LLC

  dba HCA Healthcare Trident Hospital

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1366496937
  Care Compare affiliation

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1689656498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 MIDLAND PKWY",
            "address_2": "B",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858104",
            "telephone_number": "843-851-9069",
            "fax_number": "843-871-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 MIDLAND PKWY",
            "address_2": "B",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858104",
            "telephone_number": "843-851-9069",
            "fax_number": "843-871-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECIALE",
        "first_name": "VITO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1690",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "628",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166218101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Speakeasy Counseling
• Spear Educational Services
• Jessica Spearing
• Sarah Jane Tyler Spearman, PHARMD
• Special Care Vision of SC, LLC
• Spectrum Therapy Assessment and Rehabilitation, LLC
• Spectrum, Therapy, Assessment, Rehabilitation
• Marika Charlene Spell
• Hailey Spencer, LDO
• Rachel Klara Mink Spencer, OTR/L

• Podiatrist in Summerville, SC
• Providers in Summerville, SC by specialty
• Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.