Individual provider Active NPI

Elliot Fialkoff, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Hollywood, FL
National Provider Identifier
1710363692
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PR450 Issued in FL
Practice address
3381 N 41St CT
Hollywood, FL 33021-1940
Phone
(818) 317-4127
NPI assigned
Aug 3, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Public Medicine Podiatrist 213EP0504X PR450 FL
Primary Podiatric Medicine Podiatrist 213EP1101X PR450 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO3970 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PR450 FL Primary

Addresses

Primary practice location

3381 N 41St CT
Hollywood, FL 33021-1940

Mailing address

3381 N 41St CT
Hollywood, FL 33021-1940
Phone (818) 317-4127

Other identifiers 1

IdentifierTypeStateIssuer
PR450OtherFLPODIATRIC RESIDENT REGISTRATION

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
I20181226002147 FL Practitioner - Podiatry 8921343732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Podiatry LLCGroup PAC ID 6204171010, 2 clinicians

Practice addresses (Care Compare)

1255 NE 135TH St
North Miami, FL 33161-4312
Phone (818) 317-4127

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of nail tissue1802
Removal or shaving of skin growth48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR450FLMDPublic Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC PastSince Dec 1, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1710363692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 N 41ST CT",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211940",
            "telephone_number": "818-317-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 N 41ST CT",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211940",
            "telephone_number": "818-317-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIALKOFF",
        "first_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-03",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "FL",
            "license": "PR450",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PR450",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3970",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PR450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRIC RESIDENT REGISTRATION",
            "identifier": "PR450",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.