Individual provider Active NPI

Bonnie Z Sanchez, DPM

  • Podiatrist
  • Sun City Center, FL
National Provider Identifier
1699874180
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1960 Issued in FL
Practice address
4040 Upper Creek Dr Ste 106
Sun City Center, FL 33573-6844
Phone
(727) 824-5100
Fax
(727) 824-5132
NPI assigned
Sep 21, 2006
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO1960 FL Primary

Addresses

Primary practice location

4040 Upper Creek Dr Ste 106
Sun City Center, FL 33573-6844

Mailing address

4040 Upper Creek Dr Ste 106
Sun City Center, FL 33573-6844
Phone (727) 824-5100

Other practice location 1

2112 4th St N
St Petersburg, FL 33704-4312
Phone (727) 824-5100

Other practice location 2

7926 W Hillsborough Ave Ste G
Tampa, FL 33615-4600
Phone (813) 645-1993

Other identifiers 2

IdentifierTypeStateIssuer
P00202506OtherFLRAILROAD MEDICARE
390379600MedicaidFL

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
I20120220000601 FL Practitioner - Podiatry 7214911098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4040 Upper Creek Dr
Suite 106
Sun City Center, FL 33573-6844
Phone (813) 645-1993

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.79 of 100Reported as individual
Quality
54.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Feet for Life, Inc. Podiatrist CurrentSince Oct 25, 2001 Accepting new patients

Locations

2112 4th St N
St Petersburg, FL 33704
Phone (727) 824-5100

4040 Upper Creek Dr
Ste 106
Sun City Ctr, FL 33573
Phone (727) 824-5100

7926 W Hillsborough Ave
Ste G
Tampa, FL 33615
Phone (813) 886-9180

Interoperability endpoints

  • Direct secure messaging: bonnie.sanchez.1@13000.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13000/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1699874180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 UPPER CREEK DR STE 106",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736844",
            "telephone_number": "727-824-5100",
            "fax_number": "727-824-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 UPPER CREEK DR STE 106",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736844",
            "telephone_number": "727-824-5100",
            "fax_number": "727-824-5132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 4th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337044312",
            "country_code": "US",
            "telephone_number": "727-824-5100",
            "fax_number": "727-824-5132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7926 W Hillsborough Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336154600",
            "country_code": "US",
            "telephone_number": "813-645-1993",
            "fax_number": "727-824-5132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "BONNIE",
        "middle_name": "Z",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00202506",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390379600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

Verify at the official NPI Registry.