Claudia R. Mallette, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO 2629 Issued in FL

Practice address

200 S Harbor City Blvd
Suite 302
Melbourne, FL 32901-1384

Phone

(321) 728-0117

Fax

(321) 728-0151

NPI assigned

Mar 12, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

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 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Claudia R Mallette DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Melbourne, FL
  • NPI 1154565315

  2466507827

  Same PAC ID

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Claudia R Mallette DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Melbourne, FL
  • NPI 1154565315
  Medicare reassignment NPD Authorized official
• Brian J Mallette DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Melbourne, FL
  • NPI 1073755963
  NPD
• Pascarella Hoover Finkelstein & Wagner DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Altamonte Springs, FL
  • NPI 1740275635
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1861633463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S HARBOR CITY BLVD",
            "address_2": "STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011389",
            "telephone_number": "321-728-0117",
            "fax_number": "321-728-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HARBOR CITY BLVD",
            "address_2": "SUITE 302",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011384",
            "telephone_number": "321-728-0117",
            "fax_number": "321-728-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLETTE",
        "first_name": "CLAUDIA",
        "middle_name": "R.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 2629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Malik
• David Joel Malis, MD
• Cassandra Mall, ATC, SCAT
• Lexus Chardanai Mallard-Martin
• Brian Joseph Mallette, D.P.M.
• Keenan Ane Mallory, LCSW
• Bethany Malone
• Evadne Malone, BCBA
• Maria Malone, CLC
• Jack Maloney, LCSW- CAP

• Foot & Ankle Surgery Podiatrist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.

Verify at the official NPI Registry.