Individual provider Active NPI

Brian Keith Hameroff, DPM

  • Podiatrist
  • Seminole, FL
National Provider Identifier
1720031941
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 2900 Issued in FL
Practice address
10875 Park Blvd
Ste. C
Seminole, FL 33772
Phone
(727) 398-6650
Fax
(727) 398-6550
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO 2900 FL Primary

Addresses

Primary practice location

10875 Park Blvd
Ste. C
Seminole, FL 33772

Mailing address

10863 Park Blvd
Suite a
Seminole, FL 33772-5423
Phone (727) 398-6650

Other identifiers 1

IdentifierTypeStateIssuer
340206100MedicaidFL

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
I20120215000747 FL Practitioner - Podiatry 8426265760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adnan Shariff IncGroup PAC ID 3375682545, 6 clinicians

Practice addresses (Care Compare)

235 NE 19TH Dr
Okeechobee, FL 34972-1933
Phone (863) 357-1166

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue102
Removal of skin lesions1-10
Removal of nail tissue598
Removal or shaving of skin growth541
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 2900FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Adnan Shariff, Inc Podiatrist CurrentSince Apr 17, 2023 Accepting new patients
Adnan Shariff, Inc Podiatrist CurrentSince Apr 17, 2023 Accepting new patients
Adnan Shariff DPM PLLC Past Accepting new patients

Locations

235 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-1166

10863 Park Blvd
Ste A
Seminole, FL 33772
Phone (727) 398-6650

1609 Pasadena Ave S
Ste 2N
South Pasadena, FL 33707
Phone (727) 398-6650

Organizations & group practices 3

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1720031941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10863 PARK BLVD",
            "address_2": "SUITE A",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337725423",
            "telephone_number": "727-398-6650",
            "fax_number": "727-398-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10875 PARK BLVD",
            "address_2": "STE. C",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "33772",
            "telephone_number": "727-398-6650",
            "fax_number": "727-398-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEROFF",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 2900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340206100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.