Irakly Pataraia, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO4577 Issued in FL

Practice address

2500 E Hallandale Beach Blvd Ste 811
Hallandale Beach, FL 33009-4841

Phone

(224) 616-1952

NPI assigned

Aug 28, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NY2 enrollments

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 2

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Podira LLCGroup PAC ID 7416484076, 2 clinicians

Total Care Podiatry PCGroup PAC ID 5799930301, 4 clinicians

Pedirite Medical FL LLCGroup PAC ID 7113336843, 14 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Podira LLC

  • Foot & Ankle Surgery Podiatrist
  • Hallandale Beach, FL
  • NPI 1295551257
  Medicare reassignment Care Compare group NPD Authorized official
• Pedirite Medical FL LLC

  • General Practice Physician
  • Debary, FL
  • NPI 1750962023
  Medicare reassignment Care Compare group NPD
• Total Care Podiatry PC

  • Foot Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1194095141
  Medicare reassignment Care Compare group
• Elite 23 Holding Group LLC

  dba Elite Medical Center

  • Multi-Specialty Clinic/Center
  • Sunny Isles Beach, FL
  • NPI 1598592537
  Medicare reassignment NPD
• Elite Podiatry LLC

  • Podiatrist
  • Hollywood, FL
  • NPI 1700374667
  Medicare reassignment NPD
• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  FL

  Medicare reassignment NPD
• Podiatry Company LLC

  • Podiatrist
  • Cambridge, MD
  • NPI 1457931610

  FL

  Medicare reassignment NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175
  NPD (past)

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1780051490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405759",
            "telephone_number": "773-878-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HALLANDALE BEACH BLVD STE 811",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094841",
            "telephone_number": "224-616-1952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 Shermer Rd Apt 5A",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600625325",
            "country_code": "US",
            "telephone_number": "815-463-0098 x1001",
            "fax_number": "815-462-4955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3514 Mermaid Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112241510",
            "country_code": "US",
            "telephone_number": "224-616-1952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATARAIA",
        "first_name": "IRAKLY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-28",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "135001129",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "3600952",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Shore Drug Inc
• Jiwon Park, MD
• Adrian Paruas, D.M.D.
• Yuriy Pasisnichenko, MD
• Calin M Pastiu
• Philip Patete, PHD
• Path Medical Center Inc (Path MRI)
• Path Medical, LLC (Path MRI)
• Patient First Medical Center, Inc.
• Alexander Patsiornik, ARNP, PMHNP

• Foot & Ankle Surgery Podiatrist in Hallandale Beach, FL
• Providers in Hallandale Beach, 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 Apr 7, 2026; 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.