Individual provider Active NPI

Jaime Gabriel Feliciano, DPM

  • Podiatrist
  • St Petersburg, FL
National Provider Identifier
1902591936
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4770 Issued in FL
Practice address
1001 37TH St N Ste F
St Petersburg, FL 33713-6010
Phone
(727) 348-3338
Fax
(727) 347-3668
NPI assigned
Apr 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4770 FL Primary

Addresses

Primary practice location

1001 37TH St N Ste F
St Petersburg, FL 33713-6010

Mailing address

1001 37TH St N Ste F
St Petersburg, FL 33713-6010
Phone (727) 348-3338

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
I20260620000331 FL Practitioner - Podiatry 2062985187

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4927 Diamonds Palm Loop
Wesley Chapel, FL 33543-7162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Coast Foot & Ankle PA Podiatrist CurrentSince Jul 1, 2026 Accepting new patients

Locations

1001 37th St N
Ste F
St Petersburg, FL 33713
Phone (727) 384-3338

Interoperability endpoints

  • Direct secure messaging: jaime.feliciano.1@18107.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1902591936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 37TH ST N STE F",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136010",
            "telephone_number": "727-348-3338",
            "fax_number": "727-347-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 37TH ST N STE F",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136010",
            "telephone_number": "727-348-3338",
            "fax_number": "727-347-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "JAIME",
        "middle_name": "GABRIEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-06",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.