Individual provider Active NPI

Guillermo A. Donate, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Tampa, FL
National Provider Identifier
1891800066
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2970 Issued in FL
Practice address
16350 Bruce B Downs Blvd Unit 46879
Tampa, FL 33647-3207
Phone
(813) 994-0213
Fax
(813) 994-0105
NPI assigned
Aug 20, 2006
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO2970 FL
Primary Podiatric Medicine Podiatrist 213EP1101X PO2970 FL
Sports Medicine Podiatrist 213ES0000X PO2970 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO2970 FL Primary
Foot Surgery Podiatrist 213ES0131X PO2970 FL

Addresses

Primary practice location

16350 Bruce B Downs Blvd Unit 46879
Tampa, FL 33647-3207

Mailing address

16350 Bruce B Downs Blvd Unit 46879
Tampa, FL 33647-3207
Phone (813) 994-0213

Other identifiers 1

IdentifierTypeStateIssuer
006495800MedicaidFL

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
I20101117000073 FL Practitioner - Podiatry 6901091909 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians
Live Better Health Center LLCGroup PAC ID 3870744808, 2 clinicians

Practice addresses (Care Compare)

1202 S Church Ave
Suite a
Tampa, FL 33629-5017
Phone (813) 821-8095

1811 N Belcher Rd
Suite H 1
Clearwater, FL 33765-1433
Phone (727) 827-2825

2621 Windguard Cir
Suite 102
Wesley Chapel, FL 33544-7354
Phone (813) 994-0213

4423 Park Blvd
Pinellas Park, FL 33781-3540

4423 Park Blvd N
Pinellas Park, FL 33781-3540

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2970FLMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Apr 22, 2023 Accepting new patients
American Foot & Ankle Clinic of Tampa Bay, Inc. Foot & Ankle Surgery CurrentSince Jul 20, 2011 Accepting new patients
Tampa General Medical Group Inc CurrentSince Apr 22, 2023 Accepting new patients
Tampa General Medical Group Inc Past Accepting new patients
KG Health Partners, Inc Podiatrist PastSince Nov 5, 2012 Accepting new patients
LBH Med Group LLC PastSince Mar 1, 2025 Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

1202 S Church Ave
Ste A
Tampa, FL 33629
Phone (813) 258-9565

2621 Windguard Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 344-3948

Interoperability endpoints

  • Direct secure messaging: gdonate@americanfootandankle.kareodirect.com
  • Direct secure messaging: gdonate191865@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1891800066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16350 BRUCE B DOWNS BLVD UNIT 46879",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473207",
            "telephone_number": "813-994-0213",
            "fax_number": "813-994-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16350 BRUCE B DOWNS BLVD UNIT 46879",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473207",
            "telephone_number": "813-994-0213",
            "fax_number": "813-994-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATE",
        "first_name": "GUILLERMO",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2970",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO2970",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "FL",
            "license": "PO2970",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2970",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO2970",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006495800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.