Individual provider Active NPI

Taylor Rae Tendrich, DPM

  • Podiatrist
  • Jupiter, FL
National Provider Identifier
1912460130
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4248 Issued in FL
Practice address
210 Jupiter Lakes Blvd Ste 4102
Jupiter, FL 33458-7190
Phone
(561) 626-3338
Fax
(561) 776-5100
NPI assigned
Apr 14, 2019
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4248 FL Primary

Addresses

Primary practice location

210 Jupiter Lakes Blvd Ste 4102
Jupiter, FL 33458-7190

Mailing address

210 Jupiter Lakes Blvd Ste 4102
Jupiter, FL 33458-7190
Phone (561) 626-3338

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
I20220608002630 FL Practitioner - Podiatry 8527446202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm City Podiatry IncGroup PAC ID 8820375843, 2 clinicians

Practice addresses (Care Compare)

3131 SW Mapp Rd
Palm City, FL 34990-3328
Phone (772) 266-8499

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.54 of 100Reported as individual
Quality
59.35
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue118
Removal of skin lesions27
Removal of nail tissue535
Removal or shaving of skin growth17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4248FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm City Podiatry, Inc. Podiatrist CurrentSince Aug 1, 2022 Accepting new patients
Daniel S Maccurdy MD PA CurrentSince Mar 12, 2024 Accepting new patients

Locations

210 Jupiter Lakes Blvd
Ste 4102
Jupiter, FL 33458
Phone (561) 626-3338

3131 SW Mapp Rd
Palm City, FL 34990
Phone (772) 266-8499

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": "1555200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1912460130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD STE 4102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587190",
            "telephone_number": "561-626-3338",
            "fax_number": "561-776-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD STE 4102",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587190",
            "telephone_number": "561-626-3338",
            "fax_number": "561-776-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENDRICH",
        "first_name": "TAYLOR",
        "middle_name": "RAE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-14",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.