Individual provider Active NPI

Karina D Baesso, DPM

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1780981035
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3466 Issued in FL
Practice address
3661 S Miami Ave Ste 309
Miami, FL 33133-4232
Phone
(305) 854-6600
Fax
(305) 854-6602
NPI assigned
Feb 23, 2011
Last updated
Feb 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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 PO3466 FL Primary

Addresses

Primary practice location

3661 S Miami Ave Ste 309
Miami, FL 33133-4232

Mailing address

5103 SW 141St Ave
Miramar, FL 33027-5968
Phone (954) 907-2191

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
I20110705000474 FL Practitioner - Podiatry 0446438931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15100 NW 67TH Ave
Suite 100
Miami Lakes, FL 33014-2103
Phone (305) 671-3494

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3466FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Phu H Nguyen DPM PA Foot & Ankle Surgery CurrentSince Jul 15, 2011 Accepting new patients
Foot and Ankle Institute, PA Foot & Ankle Surgery CurrentSince Jul 1, 2011 Accepting new patients
Lower Extremity Surgical Group PL Foot & Ankle Surgery Past Accepting new patients

Locations

3641 S Miami Ave
Miami, FL 33133
Phone (305) 854-3636

3661 S Miami Ave
Ste 309
Miami, FL 33133
Phone (305) 854-6600

15100 NW 67th Ave
Ste 100
Miami Lakes, FL 33014
Phone (305) 671-3494

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1780981035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 SW 141ST AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275968",
            "telephone_number": "954-907-2191",
            "fax_number": "305-829-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 309",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334232",
            "telephone_number": "305-854-6600",
            "fax_number": "305-854-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAESSO",
        "first_name": "KARINA",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.