Individual provider Active NPI

Charles Aaron Mutschler, DPM

  • Podiatrist
  • Miami, FL
National Provider Identifier
1902889447
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2984 Issued in FL
Practice address
18280 W Dixie Hwy
Miami, FL 33160-2001
Phone
(786) 428-3668
Fax
(305) 932-0923
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X PO2984 FL
Podiatrist 213E00000X PO2984 FL Primary
Foot Surgery Podiatrist 213ES0131X PO2984 FL

Addresses

Primary practice location

18280 W Dixie Hwy
Miami, FL 33160-2001

Mailing address

18280 W Dixie Hwy
Miami, FL 33160-2001
Phone (786) 428-3668

Other identifiers 2

IdentifierTypeStateIssuer
4935930001OtherDMERC
65789OtherFLBCBS

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
I20111121000249 FL Practitioner - Podiatry 6800090325 Reassigns benefits to 1 organization

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
Advanced Footcare IncGroup PAC ID 9032326780, 2 clinicians

Practice addresses (Care Compare)

18280 W Dixie Hwy
Miami, FL 33160-2001
Phone (786) 428-3668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO2984FLMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Footcare Inc Podiatrist CurrentSince Oct 1, 2002 Accepting new patients
Footcare Express Inc Past Accepting new patients

Locations

18280 W Dixie Hwy
North Miami Beach, FL 33160
Phone (305) 932-0922

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4399/brand/8/csg/41/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1902889447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18280 W DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331602001",
            "telephone_number": "786-428-3668",
            "fax_number": "305-932-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18280 W DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331602001",
            "telephone_number": "786-428-3668",
            "fax_number": "305-932-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTSCHLER",
        "first_name": "CHARLES",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "FL",
            "license": "PO2984",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2984",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO2984",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4935930001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65789",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.