Active NPI
Jason Luttrell, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO 3540
- Practice address
- 2699 Lee Rd Ste 320
Winter Park, FL 32789-1740 - Phone
- (321) 356-1258
- Fax
- (407) 329-3294
- NPI assigned
- Feb 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO 3540 | FL | Primary |
Addresses
Primary practice location
2699 Lee Rd Ste 320
Winter Park, FL 32789-1740
Mailing address
1217 Woodmere Dr
Altamonte Springs, FL 32714-2851
Phone (321) 356-1258
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
Enrollment records 1
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
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
2699 Lee Rd
Suite 320
Winter Park, FL 32789-1740
Phone (321) 356-1258
Hospital & facility affiliations
- Centerwell Home Health
- Accordcare Home Health
- Adventhealth Orlando
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 204 |
| Removal of nail tissue | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO 3540 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heeling Soles Podiatry LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| HSP FL LLC | Current | Accepting new patients | |
| Family Podiatry of Central Florida PA | Past | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759
661 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 339-4324
1800 N Mills Ave
Orlando, FL 32803
Phone (321) 356-1258
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Winter Park, FL
- NPI 1427442094
-
- Podiatric Clinic/Center
- Orlando, FL
- NPI 1194595934
-
- Foot & Ankle Surgery Podiatrist
- Altamonte Springs, FL
- NPI 1285038539
-
- Podiatrist
- Altamonte Springs, FL
- NPI 1265081632
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Orlando, FL
- NPI 1023045390
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- Home Health Agency
- Maitland, FL
- NPI 1053864900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1851664098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 WOODMERE DR",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142851",
"telephone_number": "321-356-1258",
"fax_number": "407-329-3294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2699 LEE RD STE 320",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327891740",
"telephone_number": "321-356-1258",
"fax_number": "407-329-3294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTTRELL",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-20",
"last_updated": "2024-02-12",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO 3540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.