Individual provider Active NPI

Chinn Pusri, DPM

  • Podiatrist
  • St Petersburg, FL
National Provider Identifier
1851041958
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4625 Issued in FL
Practice address
560 Jackson St N Ste 120
St Petersburg, FL 33705-1449
Phone
(727) 800-3387
Fax
(727) 245-8668
NPI assigned
Mar 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X PO4625 FL Primary

Addresses

Primary practice location

560 Jackson St N Ste 120
St Petersburg, FL 33705-1449

Mailing address

560 Jackson St N Ste 120
St Petersburg, FL 33705-1449
Phone (727) 800-3387

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
I20250422003614 FL Practitioner - Podiatry 5698290658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Podiatry Group Inc.Group PAC ID 0042252140, 42 clinicians

Practice addresses (Care Compare)

560 Jackson St N
Suite 120
St Petersburg, FL 33705-1449
Phone (727) 800-3387

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue18
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All Podiatry Group Inc Podiatrist CurrentSince Apr 1, 2025 Accepting new patients
Anne McNamara DPM PL Podiatrist PastSince Mar 24, 2025 Accepting new patients

Locations

540 Medical Oaks Ave
Ste 101
Brandon, FL 33511
Phone (813) 681-3558

560 Jackson St N
Ste 120
St Petersburg, FL 33705
Phone (727) 800-3387

10954 Sheldon Rd
Tampa, FL 33626
Phone (813) 499-0787

1934 Duck Slough Blvd
Trinity, FL 34655
Phone (407) 993-2072

15815 Shaddock Dr
Ste 130
Winter Garden, FL 34787
Phone (407) 605-2321

Organizations & group practices 2

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": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1851041958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 JACKSON ST N STE 120",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051449",
            "telephone_number": "727-800-3387",
            "fax_number": "727-245-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 JACKSON ST N STE 120",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051449",
            "telephone_number": "727-800-3387",
            "fax_number": "727-245-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUSRI",
        "first_name": "CHINN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.