Individual provider Active NPI

Ivelisse Rosa, DPM

  • Foot Surgery Podiatrist
  • The Villages, FL
National Provider Identifier
1689764995
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
25MD00288300 Issued in NJ
Practice address
340 Heald Way BLDG 100
The Villages, FL 32163-6087
Phone
(352) 259-1919
NPI assigned
Oct 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 25MD00288300 NJ Primary
Foot Surgery Podiatrist 213ES0131X N006138 NY

Addresses

Primary practice location

340 Heald Way BLDG 100
The Villages, FL 32163-6087

Mailing address

340 Heald Way BLDG 100
The Villages, FL 32163-6087
Phone (352) 259-1919

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
I20101216000089 FL Practitioner - Podiatry 8628088929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Tri County Podiatry PAGroup PAC ID 6800810227, 8 clinicians

Practice addresses (Care Compare)

11962 County Rd
The Villages, FL 32162-9336
Phone (352) 693-3378

340 Heald Way
Suite 100
The Villages, FL 32163-6000
Phone (352) 259-1919

Hospital & facility affiliations

  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

Merit-based Incentive Payment System (MIPS)

Final score
95.49 of 100Reported as group
Quality
86.96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue171
Removal of skin lesions12
Removal of nail tissue1392
Removal or shaving of skin growth327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
25MD00288300NJMDFoot Surgery Podiatrist
N006138NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Podiatry PA Foot Surgery CurrentSince Dec 1, 2010 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA Foot Surgery CurrentSince Dec 1, 2025 Accepting new patients
Tri County Podiatry P a Foot Surgery CurrentSince Dec 1, 2010 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Foot Surgery CurrentSince Dec 1, 2025 Accepting new patients
Lori Akers Ms Arnp C PA Past Accepting new patients

Locations

661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759

7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211

340 Heald Way
Ste 100
The Villages, FL 32163
Phone (352) 259-1919

1585 Santa Barbara Blvd
#B
The Villages, FL 32159
Phone (352) 259-1919

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFFCAA

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1689764995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 HEALD WAY BLDG 100",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321636087",
            "telephone_number": "352-259-1919",
            "fax_number": "352-259-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HEALD WAY BLDG 100",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321636087",
            "telephone_number": "352-259-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "IVELISSE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-15",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00288300",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.