Active NPI
Elie Mendelson, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3704
- Practice address
- 9080 Kimberly Blvd Ste 7
Boca Raton, FL 33434-2862 - Phone
- (561) 483-4448
- Fax
- (561) 483-2167
- NPI assigned
- Jun 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PR338 | FL | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3704 | FL | Primary |
Addresses
Primary practice location
9080 Kimberly Blvd Ste 7
Boca Raton, FL 33434-2862
Mailing address
9080 Kimberly Blvd
Ste 7
Boca Raton, FL 33434-2862
Phone (561) 483-4448
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150527002504 | FL | Practitioner - Podiatry | 0749500072 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Michael J Ball DPM PA
Practice addresses (Care Compare)
9080 Kimberly Blvd
Suite 7
Boca Raton, FL 33434-2862
Phone (561) 483-4448
Hospital & facility affiliations
- #Freedom Home Health
- West Boca Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 206 |
| Removal of skin lesions | 31 |
| Removal of nail tissue | 1622 |
| Removal or shaving of skin growth | 1144 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO3704 | FL | MD | Foot & Ankle Surgery Podiatrist |
| PR338 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry Company LLC | Current | Accepting new patients | |
| Brietstein & Strauss DPM PA | Foot & Ankle Surgery | Current | Accepting new patients |
| Michael J Ball DPM PA | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
9080 Kimberly Blvd
Ste 7
Boca Raton, FL 33434
Phone (561) 483-0326
5762 SW 60th Ave
Ocala, FL 34474
Phone (352) 237-4544
7421 N University Dr
Ste 304
Tamarac, FL 33321
Phone (954) 721-8945
301 Mill Rd
Ste U7
Hewlett, NY 11557
Interoperability endpoints
- https://api.platform.athenahealth.com/15892/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Foot & Ankle Surgery Podiatrist
- Tamarac, FL
- NPI 1437200094
FL, Foot & Ankle Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Delray Beach, FL
- NPI 1902015191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629590400000",
"number": "1982043972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9080 KIMBERLY BLVD",
"address_2": "STE 7",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334342862",
"telephone_number": "561-483-4448",
"fax_number": "561-483-2167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9080 KIMBERLY BLVD STE 7",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334342862",
"telephone_number": "561-483-4448",
"fax_number": "561-483-2167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDELSON",
"first_name": "ELIE",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-23",
"last_updated": "2021-08-22",
"certification_date": "2021-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PR338",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; 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.