Individual provider Active NPI

Dale R Monast

  • Podiatrist
  • Largo, FL
National Provider Identifier
1962437228
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P01709 Issued in FL
Practice address
1680 W Bay Dr
Largo, FL 33770-3002
Phone
(727) 586-3668
Fax
(727) 588-0490
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P01709 FL Primary

Addresses

Primary practice location

1680 W Bay Dr
Largo, FL 33770-3002

Mailing address

1680 W Bay Dr
Largo, FL 33770-3002
Phone (727) 586-3668

Other identifiers 1

IdentifierTypeStateIssuer
029738100MedicaidFL

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
I20041207000464 FL Practitioner - Podiatry 5597721043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1680 W Bay Dr
Largo, FL 33770-3002
Phone (727) 586-3668

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue169
Removal of skin lesions1-10
Removal of nail tissue1499
Removal or shaving of skin growth1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P01709FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dale R Monast DPM PLLC Podiatrist CurrentSince Nov 14, 1986 Accepting new patients

Locations

1680 West Bay Dr
Largo, FL 33770
Phone (727) 586-3668

Interoperability endpoints

  • Direct secure messaging: dmonast@largofootandanklecenter.mdlogic.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1962437228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703002",
            "telephone_number": "727-586-3668",
            "fax_number": "727-588-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703002",
            "telephone_number": "727-586-3668",
            "fax_number": "727-588-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAST",
        "first_name": "DALE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P01709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029738100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.