Individual provider Active NPI

Carlo Anthony Messina, DPM

  • Foot & Ankle Surgery Podiatrist
  • Elmwood Park, IL
National Provider Identifier
1790977171
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
135.000613 Issued in IL
Practice address
1839 N 78TH Ave
Elmwood Park, IL 60707-3638
Phone
(847) 933-6670
NPI assigned
Aug 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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 135.000613 IL Primary

Addresses

Primary practice location

1839 N 78TH Ave
Elmwood Park, IL 60707-3638

Mailing address

1600 Town Center Blvd
Suite C
Weston, FL 33326
Phone (954) 349-2441

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
I20110920000793 FL Practitioner - Podiatry 6002087236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 Town Ctr Blvd
Suite C
Weston, FL 33326-3641
Phone (954) 389-5900

Merit-based Incentive Payment System (MIPS)

Final score
80.75 of 100Reported as group
Quality
65
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions26
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135.000613ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine Associates of South Florida, P.a. CurrentSince Apr 15, 2021 Accepting new patients
Foot, Ankle & Leg Specialists Past Accepting new patients
Foot, Ankle & Leg Specialists Past Accepting new patients
Foot, Ankle & Leg Specialists Past Accepting new patients
Foot, Ankle & Leg Specialists Past Accepting new patients

Locations

1600 Town Center Blvd
Ste C
Weston, FL 33326
Phone (954) 389-5751

Interoperability endpoints

  • Direct secure messaging: carlo.messina.1@2517.direct.athenahealth.com

Organizations & group practices 6

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1790977171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 TOWN CENTER BLVD",
            "address_2": "SUITE C",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "33326",
            "telephone_number": "954-349-2441",
            "fax_number": "954-349-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 N 78TH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607073638",
            "telephone_number": "847-933-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSINA",
        "first_name": "CARLO",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "135.000613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, IL

Sources for this page

Verify at the official NPI Registry.