Individual provider Active NPI

Shelly A Garrow, DPM

  • Foot & Ankle Surgery Podiatrist
  • Palm Bay, FL
National Provider Identifier
1902877616
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2604 Issued in FL
Practice address
4670 Babcock St NE
Palm Bay, FL 32905-2841
Phone
(321) 723-3498
Fax
(321) 723-2761
NPI assigned
Jan 30, 2006
Last updated
May 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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 PO2604 FL Primary

Addresses

Primary practice location

4670 Babcock St NE
Palm Bay, FL 32905-2841

Mailing address

4670 Babcock St NE
Palm Bay, FL 32905-2841
Phone (321) 723-3498

Other identifiers 1

IdentifierTypeStateIssuer
65506OtherFLBLUE CROSS BLUE SHEILD

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
I20060110000134 FL Practitioner - Podiatry 4688697352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1051 Eber Blvd
Melbourne, FL 32904-8768
Phone (321) 723-3498

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue498
Removal of nail tissue15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sag Ventures, Inc Foot & Ankle Surgery CurrentSince Nov 23, 2005 Accepting new patients
Brevard Healthworx Inc Foot & Ankle Surgery Past Accepting new patients

Locations

1051 Eber Blvd
Ste 106
Melbourne, FL 32904
Phone (321) 723-3498

4670 Babcock St NE
Ste 1
Palm Bay, FL 32905
Phone (321) 723-3498

Interoperability endpoints

  • Direct secure messaging: sgarrow@garrow.mdlogic.direct-ci.com
  • Direct secure messaging: sgarrow71707@epicdirect.hf.org

Organizations & group practices 2

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1902877616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 BABCOCK ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052841",
            "telephone_number": "321-723-3498",
            "fax_number": "321-723-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 BABCOCK ST NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052841",
            "telephone_number": "321-723-3498",
            "fax_number": "321-723-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARROW",
        "first_name": "SHELLY",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "65506",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.