Individual provider Active NPI

Allen Lazerson, D.P.M.

  • Podiatrist
  • Riverview, FL
National Provider Identifier
1710988779
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4249 Issued in FL
Practice address
13049 Summerfield Square Dr
Riverview, FL 33578-7402
Phone
(813) 671-3100
Fax
(813) 671-5361
NPI assigned
Aug 2, 2005
Last updated
Oct 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD000496 GA
Podiatrist 213E00000X PO4249 FL Primary
Foot & Ankle Surgery Podiatrist 213ES0103X POD000496 GA

Addresses

Primary practice location

13049 Summerfield Square Dr
Riverview, FL 33578-7402

Mailing address

13049 Summerfield Square Dr
Riverview, FL 33578-7402
Phone (813) 671-3100

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
I20210601001075 FL Practitioner - Podiatry 6709983000 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pascarella Hoover Finkelstein and Wagner DPM PAGroup PAC ID 9436235645, 102 clinicians
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians

Practice addresses (Care Compare)

13049 Summerfield Square Dr
Riverview, FL 33578-7402
Phone (813) 945-9305

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue470
Removal or shaving of skin growth144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD000496GAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle & Foot Center of Tampa Bay Podiatrist CurrentSince Jun 1, 2021 Accepting new patients
Ankle & Foot Center of Tampa Bay Podiatrist CurrentSince Jun 1, 2021 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Nov 9, 2021 Accepting new patients
Upperline Healthcare, PC Podiatrist CurrentSince Nov 9, 2021 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA CurrentSince Jan 15, 2025 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Podiatrist CurrentSince Jan 15, 2025 Accepting new patients
Allen Lazerson Podiatrist PastSince Oct 7, 1994 Accepting new patients
Ehi Pharmacy Solutions, LLC. Past Accepting new patients

Locations

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

4207 59th St W
Bradenton, FL 34209
Phone (941) 241-3701

819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234

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

3491 Gandy Blvd N
Ste 107
Pinellas Park, FL 33781
Phone (727) 273-7694

13049 Summerfield Square Dr
Riverview, FL 33578
Phone (813) 671-3100

13049 Summerfield Square Dr
Ste B
Riverview, FL 33578
Phone (813) 671-3100

13907 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 963-1833

2835 W De Leon St
Ste 101
Tampa, FL 33609
Phone (813) 254-4747

38105 13th Ave
Zephyrhills, FL 33542
Phone (813) 715-4747

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: allen.lazerson.2@4399.direct.athenahealth.com

Organizations & group practices 8

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1710988779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13049 SUMMERFIELD SQUARE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787402",
            "telephone_number": "813-671-3100",
            "fax_number": "813-671-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13049 SUMMERFIELD SQUARE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787402",
            "telephone_number": "813-671-3100",
            "fax_number": "813-671-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZERSON",
        "first_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000496",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4249",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.