Howard Bruce Petusevsky, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

PO1813 Issued in FL

Practice address

7769 NW 44TH St
Sunrise, FL 33351-6203

Phone

(954) 742-4343

Fax

(954) 572-8335

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barry University IncGroup PAC ID 3870499718, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Barry University Inc

  • Foot & Ankle Surgery Podiatrist
  • North Miami Beach, FL
  • NPI 1295959625
  Medicare reassignment Care Compare group NPD
• P. H. Eisenfeld, D.P.M., P.a.

  • Prosthetic/Orthotic Supplier
  • Boca Raton, FL
  • NPI 1700064896
  Medicare reassignment NPD
• Barry University Inc

  • Foot & Ankle Surgery Podiatrist
  • Miami Beach, FL
  • NPI 1255631552
  NPD
• Barry University Inc

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
  • NPI 1629030275
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1972678498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7769 NW 44TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516203",
            "telephone_number": "954-742-4343",
            "fax_number": "954-572-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7769 NW 44TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516203",
            "telephone_number": "954-742-4343",
            "fax_number": "954-572-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETUSEVSKY",
        "first_name": "HOWARD",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO1813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRY",
            "identifier": "87950",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morja Diema Perkins, ARNP
• Lori L. Pesce, CRNA
• Maggie Christine Petersen, M.S., CCC-SLP
• Kevin Joseph Peterson, DPT
• Vanessa Marissa Petro, RN
• Carol Rimron Pfrogner, CRNA
• Timothy Pham
• Pharma Express Inc
• Pharmabill LLC
• Pharmscript of Florida LLC

• Primary Podiatric Medicine Podiatrist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Primary Podiatric Medicine Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.