Individual provider Active NPI

Frank Steven Busillo, DPM

  • Podiatrist
  • Hollywood, FL
National Provider Identifier
1982693206
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3103 Issued in FL
Practice address
6888 Taft St
Hollywood, FL 33024-5657
Phone
(954) 989-1786
Fax
(954) 989-3895
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3103 FL Primary

Addresses

Primary practice location

6888 Taft St
Hollywood, FL 33024-5657

Mailing address

PO Box 221493
Hollywood, FL 33022-1493
Phone (954) 989-1786

Other identifiers 1

IdentifierTypeStateIssuer
340602400MedicaidFL

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
I20040601001052 FL Practitioner - Podiatry 4789666116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6888 Taft St
Hollywood, FL 33024-5657
Phone (954) 989-1786

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as individual
Quality
44.99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue115
Removal of skin lesions1-10
Removal of nail tissue424
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3103FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Frank Busillo DPM PA Podiatrist CurrentSince Mar 4, 2004 Accepting new patients
Frank Busillo DPM PA Dba Taft Podiatry Associates CurrentSince Mar 4, 2004 Accepting new patients
Frank Busillo DPM PA Podiatrist Past Accepting new patients
Phillip D.Decubellis PA Past Accepting new patients

Locations

6888 Taft St
Hollywood, FL 33024
Phone (786) 276-8987

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1982693206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221493",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330221493",
            "telephone_number": "954-989-1786",
            "fax_number": "954-989-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6888 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245657",
            "telephone_number": "954-989-1786",
            "fax_number": "954-989-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSILLO",
        "first_name": "FRANK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340602400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.