Colette Tara D'Altilio, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO 3030 Issued in FL

Practice address

2100 E Sample Rd
Suite 203
Lighthouse Point, FL 33064-7574

Phone

(954) 933-9033

Fax

(954) 934-0060

NPI assigned

Jan 26, 2006

Last updated

Jul 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• USA Home Health Services Home health agency, Plantation, FL, CCN 107397
• Broward Health North Hospital, Deerfield Beach, FL, CCN 100086

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lighthouse Foot & Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Deerfield Beach, FL
  • NPI 1508056326
  Medicare reassignment Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Home Health Services of South Florida, Inc

  dba USA Home Health Services

  • Home Health Agency
  • Plantation, FL
  • NPI 1447258769
  Care Compare affiliation
• North Broward Hospital District

  dba Broward Health Lighthouse Point ER

  • General Acute Care Hospital
  • Pompano Beach, FL
  • NPI 1376571323
  Care Compare affiliation
• North Broward Hospital District

  dba Broward Health North

  • Emergency Care Clinic/Center
  • Lighthouse Point, FL
  • NPI 1720936792

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1740251008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E SAMPLE RD",
            "address_2": "SUITE 203",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647596",
            "telephone_number": "954-933-9033",
            "fax_number": "954-934-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E SAMPLE RD",
            "address_2": "SUITE 203",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647574",
            "telephone_number": "954-933-9033",
            "fax_number": "954-934-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ALTILIO",
        "first_name": "COLETTE",
        "middle_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 3030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405150-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Mercedes Cristancho, M.D
• Megan Lynn Cronauer, ARNP
• Allin Bland Crouch Jr., D.D.S.
• Eduardo Andres Cruz, DMD
• David Arthur D'Alessandro, M.D.
• Gisele R De Oliveira, DMD
• Donna Decunzo-Taddeo
• Jason Dela Cruz, DPT
• Christopher James Deleo, M.D.
• Dental & Sedation Group, LLC

• Foot & Ankle Surgery Podiatrist in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.