Individual provider Active NPI

Amy Sue Dunetz, D.P.M.

  • Foot Surgery Podiatrist
  • Aventura, FL
National Provider Identifier
1780606889
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
P2192 Issued in FL
Practice address
17971 Biscayne Blvd
109
Aventura, FL 33160
Phone
(305) 933-2666
Fax
(305) 933-3508
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X P2192 FL Primary

Addresses

Primary practice location

17971 Biscayne Blvd
109
Aventura, FL 33160

Mailing address

17971 Biscayne Blvd
109
Aventura, FL 33160
Phone (305) 933-2666

Other identifiers 1

IdentifierTypeStateIssuer
1170030001OtherFLMEDICARE DME

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
I20110112000959 FL Practitioner - Podiatry 4587786124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12525 Orange Dr
Suite 710
Davie, FL 33330-4308
Phone (954) 623-8088

17971 Biscayne Blvd
Suite 109
Aventura, FL 33160-2531
Phone (305) 933-2666

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue390
Removal of skin lesions41
Removal of nail tissue64
Skin biopsy20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P2192FLMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Podiatry Associates, PA CurrentSince Apr 1, 1995 Accepting new patients

Locations

17971 Biscayne Blvd
Ste 109
Aventura, FL 33160
Phone (305) 933-2666

12525 Orange Dr
Ste 713
Davie, FL 33330
Phone (818) 424-0958

Organizations & group practices 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1780606889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17971 BISCAYNE BLVD",
            "address_2": "109",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33160",
            "telephone_number": "305-933-2666",
            "fax_number": "305-933-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17971 BISCAYNE BLVD",
            "address_2": "109",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33160",
            "telephone_number": "305-933-2666",
            "fax_number": "305-933-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNETZ",
        "first_name": "AMY",
        "middle_name": "SUE",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "P2192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "1170030001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.