Individual provider Active NPI

Nazanin Roboubi, DPM

  • Podiatrist
  • Safety Harbor, FL
National Provider Identifier
1801888706
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3060 Issued in FL
Practice address
1840 Mease Dr
Suite 315
Safety Harbor, FL 34695-6602
Phone
(727) 631-1592
Fax
(727) 631-1592
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3060 FL Primary

Addresses

Primary practice location

1840 Mease Dr
Suite 315
Safety Harbor, FL 34695-6602

Mailing address

36181 E Lake Rd
Suite 55
Palm Harbor, FL 34685-3142
Phone (727) 631-1592

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
I20050809000500 FL Practitioner - Podiatry 9830128909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2701 Park Dr
Suite 6
Clearwater, FL 33763-1021
Phone (727) 631-1592

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue72
Removal of nail tissue15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Well Being Clinic PA CurrentSince Feb 1, 2007 Accepting new patients
Sunset Point Medical Associates Inc PastSince May 25, 2020 Accepting new patients
T S Behrmann Enterprises Inc Podiatrist Past Accepting new patients
Foot & Ankle Centers of Charlotte County PA Podiatrist PastSince Jan 1, 1990 Accepting new patients
Foot & Ankle Centers of Charlotte County PastSince Jan 1, 1990 Accepting new patients

Locations

2701 Park Dr
Ste 6
Clearwater, FL 33763
Phone (727) 631-1592

36181 E Lake Rd
Palm Harbor, FL 34685
Phone (727) 488-2463

1840 Mease Dr
Ste 315
Safety Harbor, FL 34695
Phone (727) 631-1592

Organizations & group practices 5

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1801888706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36181 E LAKE RD",
            "address_2": "SUITE 55",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853142",
            "telephone_number": "727-631-1592",
            "fax_number": "727-787-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 315",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-631-1592",
            "fax_number": "727-631-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBOUBI",
        "first_name": "NAZANIN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.