Individual provider Active NPI

Elie Mendelson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Boca Raton, FL
National Provider Identifier
1982043972
Registry record updated Aug 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3704 Issued in FL
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

Updated by the provider on Aug 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 2 clinicians

Practice addresses (Care Compare)

9080 Kimberly Blvd
Suite 7
Boca Raton, FL 33434-2862
Phone (561) 483-4448

Hospital & facility affiliations

  • #Freedom Home Health Home health agency, Boynton Beach, FL, CCN 109541
  • West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue206
Removal of skin lesions31
Removal of nail tissue1622
Removal or shaving of skin growth1144
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3704FLMDFoot & Ankle Surgery Podiatrist
PR338FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Company LLC CurrentSince Mar 24, 2022 Accepting new patients
Brietstein & Strauss DPM PA Foot & Ankle Surgery CurrentSince Apr 20, 2015 Accepting new patients
Michael J Ball DPM PA Foot & Ankle Surgery CurrentSince Apr 1, 2021 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.