Organization Active NPI

Hillsborough Foot & Ankle Specialist

  • Podiatrist
  • Valrico, FL
National Provider Identifier
1972148351
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
HILLSBOROUGH FOOT & ANKLE SPECIALIST
Practice address
1576 Bloomingdale Ave
Valrico, FL 33596-6101
Phone
(908) 764-9386
NPI assigned
Nov 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Authorized official

Name
Devanshu Patel, DPMNPI 1801221593
Title
Owner
Phone
(813) 409-2005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1576 Bloomingdale Ave
Valrico, FL 33596-6101

Mailing address

1576 Bloomingdale Ave
Valrico, FL 33596-6101
Phone (813) 409-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191220001702 FL Part B Supplier - Clinic/Group Practice 7911331103 Receives reassigned benefits from 1 practitioner
Practice locations: Valrico, FL
O20200507002734 FL DME Supplier - Physician - Podiatry 7911331103 Practice locations: Valrico, FL

National Provider Directory

National Provider Directory

Locations

1576 Bloomingdale Ave
Valrico, FL 33596
Phone (813) 409-2005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1972148351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 BLOOMINGDALE AVE",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966101",
            "telephone_number": "813-409-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 BLOOMINGDALE AVE",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966101",
            "telephone_number": "908-764-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBOROUGH FOOT & ANKLE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-09",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DEVANSHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-409-2005",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.