Active NPI
Guillermo A. Donate, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO2970
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006495800 | Medicaid | FL |
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, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 64 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO2970 | FL | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| American Foot & Ankle Clinic of Tampa Bay, Inc. | Foot & Ankle Surgery | Current | Accepting new patients |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Past | Accepting new patients | |
| KG Health Partners, Inc | Podiatrist | Past | Accepting new patients |
| LBH Med Group LLC | Past | 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
- gdonate@americanfootandankle.kareodirect.com
- gdonate191865@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Tampa, FL
- NPI 1245538735
-
- Health Service Clinic/Center
- Pinellas Park, FL
- NPI 1669757738
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
dba TGH Heart & Vascular Institute Sun City
- Cardiovascular Disease Physician
- Sun City Center, FL
- NPI 1144910316
-
dba Tampa General Hospital Cancer Care New Tampa
- Medical Oncology Physician
- Tampa, FL
- NPI 1821626383
-
- Podiatrist
- Clearwater, FL
- NPI 1487654042
-
- Health Service Clinic/Center
- Pinellas Park, FL
- NPI 1639620651
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tampa General Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.