Individual provider Active NPI

Paul Norman Gotkin, DPM

  • Podiatrist
  • Stuart, FL
National Provider Identifier
1861478257
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1436 Issued in FL
Practice address
2291 SE Federal Hwy
Stuart, FL 34994-4516
Phone
(772) 286-9912
Fax
(772) 286-2405
NPI assigned
Dec 19, 2005
Last updated
Feb 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO1436 FL Primary

Addresses

Primary practice location

2291 SE Federal Hwy
Stuart, FL 34994-4516

Mailing address

2291 SE Federal Hwy
Stuart, FL 34994-4516
Phone (772) 286-9912

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
I20100421000382 FL Practitioner - Podiatry 3678600731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2291 SE Federal Hwy
Stuart, FL 34994-4516
Phone (772) 286-9912

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue20
Removal of nail tissue69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO1436FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul N Gotkin, DPM & David a Gubernick, DPM PA Podiatrist CurrentSince Sep 22, 1982 Accepting new patients
Paul N Gotkin & David a Gubernick DPM PA Podiatrist CurrentSince Sep 22, 1982 Accepting new patients
Paul N Gotkin & David a Gubernick DPM PA Podiatrist Past Accepting new patients

Locations

1090 Virginia Ave
Fort Pierce, FL 34982
Phone (772) 461-2575

2291 SE Federal Hwy
Stuart, FL 34994
Phone (772) 286-9912

2423 SE Federal Hwy
Stuart, FL 34994
Phone (772) 286-9912

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/-c6Xwd-UlrvkHnaNj_A8a39Pa03efHEX/

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

Hospital & facility affiliations 1

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1861478257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944516",
            "telephone_number": "772-286-9912",
            "fax_number": "772-286-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944516",
            "telephone_number": "772-286-9912",
            "fax_number": "772-286-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTKIN",
        "first_name": "PAUL",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.