Active NPI
Marquissa Beverly, DPM
- Foot & Ankle Surgery Podiatrist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO 3508
- Practice address
- 2835 West Deleon Street
#101
Tampa, FL 33609 - Phone
- (318) 792-2347
- NPI assigned
- Sep 16, 2011
- Last updated
- Nov 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO 3508 | FL | Primary |
Addresses
Primary practice location
2835 West Deleon Street
#101
Tampa, FL 33609
Mailing address
205 S Moon Ave
Ste 101
Brandon, FL 33511-5716
Phone (813) 571-0123
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13049 Summerfield Square Dr
Riverview, FL 33578-7402
Phone (813) 945-9305
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 608 |
| Removal or shaving of skin growth | 170 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO 3508 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ankle & Foot Center of Tampa Bay | Foot & Ankle Surgery | Current | Accepting new patients |
| Ankle & Foot Center of Tampa Bay | Foot & Ankle Surgery | Current | Accepting new patients |
| Upperline Healthcare, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Upperline Healthcare, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Pascarella, Hoover, Finkelstein, Wagner, DPM, PA | Current | Accepting new patients | |
| Pascarella Hoover Finkelstein & Wagner DPM PA | Foot & Ankle Surgery | Current | Accepting new patients |
| Ankle & Foot Center of Tampa Bay | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759
205 S Moon Ave
Ste 101
Brandon, FL 33511
Phone (813) 571-0123
1700 N McMullen Booth Rd
Clearwater, FL 33759
Phone (727) 228-2388
1700 N McMullen Booth Rd
Ste A2-2
Clearwater, FL 33759
Phone (727) 725-2719
1700 N McMullen Booth Rd
Ste A2B
Clearwater, FL 33759
Phone (727) 725-2719
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
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
38105 13th Ave
Zephyrhills, FL 33542
Phone (813) 715-4747
4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- marquissa.beverly.1@4399.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Foot & Ankle Surgery Podiatrist
- Altamonte Springs, FL
- NPI 1740275635
-
dba Ankle & Foot Center
- Podiatrist
- Tampa, FL
- NPI 1265419964
Foot & Ankle Surgery
-
- Podiatric Clinic/Center
- Trinity, FL
- NPI 1124593355
Foot & Ankle Surgery
-
- Foot Surgery Podiatrist
- Orlando, FL
- NPI 1649585571
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
-
- Foot & Ankle Surgery Podiatrist
- Clearwater, FL
- NPI 1720258692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1760764559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 S MOON AVE",
"address_2": "STE 101",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115716",
"telephone_number": "813-571-0123",
"fax_number": "813-661-1423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 WEST DELEON STREET",
"address_2": "#101",
"city": "TAMPA",
"state": "FL",
"postal_code": "33609",
"telephone_number": "318-792-2347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEVERLY",
"first_name": "MARQUISSA",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-16",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO 3508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.