Individual provider Active NPI

Matthew Eric Greenblatt, DPM

  • Foot & Ankle Surgery Podiatrist
  • Loxahatchee, FL
National Provider Identifier
1699304956
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4572 Issued in FL
Practice address
12983 Southern Blvd Ste 206
Loxahatchee, FL 33470-9207
Phone
(561) 203-9285
NPI assigned
Apr 7, 2020
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO4572 FL Primary

Addresses

Primary practice location

12983 Southern Blvd Ste 206
Loxahatchee, FL 33470-9207

Mailing address

12983 Southern Blvd Ste 206
Loxahatchee, FL 33470-9207
Phone (561) 203-9285

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
I20240816000780 FL Practitioner - Podiatry 1951769330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Signature Foot and Ankle, LLCGroup PAC ID 4082094230, 4 clinicians

Practice addresses (Care Compare)

6080 W Boynton Beach Blvd
Suite 100
Boynton Beach, FL 33437-3586
Phone (561) 203-9285

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue52
Removal of skin lesions1-10
Removal of nail tissue59
Removal or shaving of skin growth11
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Foot & Ankle, LLC Foot & Ankle Surgery CurrentSince Sep 1, 2024 Accepting new patients

Locations

6080 W Boynton Beach Blvd
Ste 100
Boynton Beach, FL 33437
Phone (561) 203-9285

12983 Southern Blvd
Ste 206
Loxahatchee, FL 33470
Phone (561) 203-9285

Organizations & group practices 1

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 3

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1699304956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12983 SOUTHERN BLVD STE 206",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709207",
            "telephone_number": "561-203-9285",
            "fax_number": "703-776-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12983 SOUTHERN BLVD STE 206",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709207",
            "telephone_number": "561-203-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBLATT",
        "first_name": "MATTHEW",
        "middle_name": "ERIC",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.