Individual provider Active NPI

Dariya Marie Peretta, DPM

  • Podiatrist
  • Indian Harbour Beach, FL
National Provider Identifier
1912380791
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4008 Issued in FL
Practice address
2020 Highway A1A Ste 101
Indian Harbour Beach, FL 32937-3581
Phone
(321) 248-7335
NPI assigned
Jun 30, 2015
Last updated
Nov 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4008 FL Primary
Foot & Ankle Surgery Podiatrist 213ES0103X PO4008 FL

Addresses

Primary practice location

2020 Highway A1A Ste 101
Indian Harbour Beach, FL 32937-3581

Mailing address

1678 Maeve Cir
Melbourne, FL 32904-7348
Phone (321) 248-7335

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
I20180806002592 FL Practitioner - Podiatry 3577811645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DMSP LLCGroup PAC ID 5799011797, 2 clinicians

Practice addresses (Care Compare)

2020 Hwy A1A
Suite 101
Indian Harbour Beach, FL 32937-3581
Phone (321) 777-4774

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue64
Removal of skin lesions1-10
Removal of nail tissue275
Removal or shaving of skin growth162
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4008FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
DMSP LLC CurrentSince Jul 1, 2019 Accepting new patients

Locations

2020 Highway A1A
Ste 101
Indian Harbour Beach, FL 32937
Phone (321) 777-4774

Interoperability endpoints

  • Direct secure messaging: dperetta71809@epicdirect.hf.org

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.

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1912380791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1678 MAEVE CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329047348",
            "telephone_number": "321-248-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HIGHWAY A1A STE 101",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329373581",
            "telephone_number": "321-248-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERETTA",
        "first_name": "DARIYA",
        "middle_name": "MARIE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4008",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

Verify at the official NPI Registry.