Individual provider Active NPI

David Jerry Haile, MD

  • Foot & Ankle Surgery Podiatrist
  • Sebastian, FL
National Provider Identifier
1720087646
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2469 Issued in FL
Practice address
1424 US Highway 1
Suite a
Sebastian, FL 32958
Phone
(772) 589-3110
Fax
(772) 388-1929
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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 PO2469 FL Primary

Addresses

Primary practice location

1424 US Highway 1
Suite a
Sebastian, FL 32958

Mailing address

1424 US Highway 1
Suite a
Sebastian, FL 32958
Phone (772) 589-3110

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
I20090216000392 FL Practitioner - Podiatry 5597707802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1993
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

Practice addresses (Care Compare)

13855 US Hwy 1
Unit 4
Sebastian, FL 32958-3232
Phone (772) 589-3110

Hospital & facility affiliations

  • Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue25
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PO2469FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
A Step Ahead FL LLC Foot & Ankle Surgery CurrentSince Nov 9, 2021 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA CurrentSince Dec 1, 2025 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Foot & Ankle Surgery CurrentSince Dec 1, 2025 Accepting new patients

Locations

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

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

13855 US Highway 1
Unit 4
Sebastian, FL 32958
Phone (772) 589-3110

1424 US Highway 1
Ste A
Sebastian, FL 32958
Phone (772) 581-8500

Interoperability endpoints

  • Direct secure messaging: david.haile.1@4399.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1720087646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 US HIGHWAY 1",
            "address_2": "SUITE A",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "32958",
            "telephone_number": "772-589-3110",
            "fax_number": "772-388-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 US HIGHWAY 1",
            "address_2": "SUITE A",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "32958",
            "telephone_number": "772-589-3110",
            "fax_number": "772-388-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILE",
        "first_name": "DAVID",
        "middle_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.