Individual provider Active NPI

Amy M Degirolamo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1871527150
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3403 Issued in FL
Practice address
1609 NW 14TH Ave
Miami, FL 33125-1619
Phone
(305) 324-0903
Fax
(305) 324-0057
NPI assigned
Jul 10, 2006
Last updated
Oct 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3403 FL Primary

Addresses

Primary practice location

1609 NW 14TH Ave
Miami, FL 33125-1619

Mailing address

8200 NW 27 St
Ste 108
Doral, FL 33122-1906
Phone (786) 662-3893

Other identifiers 1

IdentifierTypeStateIssuer
003454700MedicaidFL

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
I20110407000899 FL Practitioner - Podiatry 8325012339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1609 NW 14TH Ave
Miami, FL 33125-1619
Phone (305) 506-0466

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue107
Removal or shaving of skin growth54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3403FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Foot & Ankle Associates LLC Foot & Ankle Surgery CurrentSince Mar 1, 2011 Accepting new patients
Florida Foot & Ankle Associates, LLC Foot & Ankle Surgery CurrentSince Mar 1, 2011 Accepting new patients
North Mississippi Foot Specialists, PC Past Accepting new patients

Locations

475 Biltmore Way
Ste 108
Coral Gables, FL 33134
Phone (305) 442-1780

8200 NW 27th St
Ste 108
Doral, FL 33122
Phone (786) 662-3893

1609 NW 14th Ave
Miami, FL 33125
Phone (305) 506-0466

760 NW 62nd St
Miami, FL 33150
Phone (305) 325-9433

8600 SW 92nd St
Ste 201
Miami, FL 33156
Phone (305) 232-6565

Organizations & group practices 3

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 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1871527150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 NW 27 ST",
            "address_2": "STE 108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221906",
            "telephone_number": "786-662-3893",
            "fax_number": "786-662-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 NW 14TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251619",
            "telephone_number": "305-324-0903",
            "fax_number": "305-324-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGIROLAMO",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003454700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.